DR. RICHARD C MANUS JR. (NPI# 1033241104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033241104 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C MANUS JR. |
| Credential | D.M.D. |
| Practice Address |
1360 Caduceus Way Building 500 Suite 101 Watkinsville GA 30677 |
| Practice Telephone | 7065480604 |
| Practice Fax Number | 7063530884 |
| Mailing Telephone | 7065480604 |
| Mailing Fax Number | 7063530884 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
010412 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 52472462-002 | 01 |
| Street Address |
1360 CADUCEUS WAY BUILDING 500 SUITE 101 |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053358366 | Kenneth Bradley Hall | Dentist | 1360 Caduceus Way, Bldg 900 Ste 101, Watkinsville, GA 30677-7300 | 2006-06-02 |
| 1275134785 | Ivey Reeves Tenny | Behavioral Analyst | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-11-03 |
| 1649887639 | Danymarie Baldon Consolacion | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-09-24 |
| 1750906822 | Marissa Evans | Behavior Technician | 1360 Caduceus Way, Building 600-suite 101, Watkinsville, GA 30677 | 2020-06-14 |
| 1962033100 | Savannah Baine | Behavior Technician | 1360 Caduceus Way, Watkinsville, GA 30677-7300 | 2020-01-27 |
| 1679945596 | Athens Cardiac Clinic PC | Internal Medicine | 1360 Caduceus Way, Building 600 Suite 105, Watkinsville, GA 30677-7300 | 2015-10-30 |
| 1013384031 | Aoa Hearing Aids | Audiologist | 1360 Caduceus Way, Building 200, Suite 101, Watkinsville, GA 30677-7300 | 2015-08-25 |
| 1518354018 | Women's Imaging Specialists - Athens, LLC | Clinic/Center | 1360 Caduceus Way, Building 400: Suite 101, Watkinsville, GA 30677-7300 | 2015-04-22 |
| 1356732804 | Athens Digestive Endoscopy Center | Clinic/Center | 1360 Caduceus Way, Building 300, Watkinsville, GA 30677-7300 | 2015-02-05 |
| 1538586516 | Yuca, LLC | Pharmacy | 1360 Caduceus Way, Bldg 400 Suite 105, Watkinsville, GA 30677 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386038396 | Timothy C Jaeger | Dentist | 1360 Caduceus Way Ste 101, Watkinsville, GA 30677-7300 | 2015-03-27 |
| 1770615825 | James J Mcdonald Jr. | Dentist | 1360 Caduceus Way, Bldg 500 Ste 101, Watkinsville, GA 30677-7300 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370454 | Karin Davis, Dmd, PC | Dentist | 3630 Savannah Pl Ste 250, Duluth, GA 30096-6394 | 2020-09-08 |
| 1649740796 | Sandy Springs Oral Surgery, LLC | Dentist | 5555 Peachtree Dunwoody Rd Ste G56, Atlanta, GA 30342-1700 | 2018-12-02 |
| 1700354677 | Cobb Oral Surgery and Dental Implant Center PC | Dentist | 2155 Post Oak Tritt Rd Ste 500, Marietta, GA 30062-8609 | 2018-11-08 |
| 1245721216 | East Atlanta Oral, Implant and Facial Surgery Center | Dentist | 519 Memorial Dr Se Unit D1, Atlanta, GA 30312-2218 | 2018-05-24 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1457735995 | Coastal Oral Surgery Associates | Dentist | 110 Office Park Ln, Suite 104, Saint Simons Island, GA 31522-6601 | 2015-07-15 |
| 1497140719 | Chelsea Elizabeth Johnson | Dentist | 4405 N Stadium Dr Ste A, Columbus, GA 31909-1884 | 2015-04-02 |
| 1841697539 | Brittney Barrow | Dentist | 60 11th St Ne Apt 2021, Atlanta, GA 30309-4388 | 2014-11-25 |
| Find all providers with the same taxonomy | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.