JOHN BENNETT MANNA


Address: 103 Summit Centre Dr, Columbia, SC 29229-7613
Phone: 8033822450

JOHN BENNETT MANNA (NPI# 1891311163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891311163
Entity Type Individual
Full Name JOHN BENNETT MANNA
Credential NP-C
Practice Address 103 Summit Centre Dr
Columbia
SC 29229-7613
Mailing Address Po Box 6069
West Columbia
SC 29171-6069
Practice Telephone 8033822450
Practice Fax Number 8033822469
Enumeration Date 2020-06-22
Last Update Date 2020-11-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
24005 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 103 SUMMIT CENTRE DR
City COLUMBIA
State SC
Zip Code 29229-7613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114938511 Terry L Nagel Family Medicine 103 Summit Centre Dr, Columbia, SC 29229-7613 2006-08-10
1679181713 Lexington County Health Services District, Inc. Clinic/Center 103 Summit Centre Dr, Columbia, SC 29229-7613 2020-07-15
1972126936 Lexington County Health Services District, Inc. Podiatrist 103 Summit Centre Dr, Columbia, SC 29229-7613 2020-05-26
1326570524 Amanda Jane Warner Podiatrist 103 Summit Centre Dr, Columbia, SC 29229-7613 2017-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194332619 Candid South Carolina, P.C. Dentist 136-4 Forum Drive #a20, Columbia, SC 29229 2020-09-29
1275166761 Isis Marie Pearson Behavior Technician 4611 Hardscrabble Rd, #239, Columbia, SC 29229 2020-02-13
1083254338 Lintiya Mccleary Behavior Technician 1048 Wildewood Center Dr, Columbia, SC 29229 2020-01-14
1538702873 Genuine Care LLC Home Health Aide 112 Denby Cir, Columbia, SC 29229 2019-10-18
1588218028 John Calvin Thorne Iv Pharmacist 175 Forum Drive, Columbia, SC 29229 2019-08-01
1801303839 Eye Associates of Columbia Inc Clinic/Center 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 2017-12-28
1508385469 Palmetto Community Group Counselor 402 Nautique Circle, Columbia, SC 29229 2017-09-12
1245754472 Fernandez Interpreter & Translator Solutions Interpreter 140 Rivendale Drive, Columbia, SC 29229 2017-07-30
1770935744 Yasmine Gamil Gabr Family Medicine 103 Summit Centre Drive, Columbia, SC 29229 2016-07-01
1386095164 Mack's Loving Care Home Health 55 Crooked Creek Place, Columbia, SC 29229 2016-06-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114526266 Leslie Desha Nurse Practitioner 1109 Pheasant Run, Columbia, MO 65201-6253 2020-10-20
1407454101 Jason D Jones Nurse Practitioner 213 Austell Dr, Columbia, TN 38401-5531 2020-10-14
1316544315 Rezvaneh Goodarzi Nurse Practitioner 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 2020-10-03
1316559255 Lauren Olivia Lenauer Nurse Practitioner 1600 E Broadway # 300, Columbia, MO 65201-5844 2020-08-21
1285246272 Lourdes Claire De Las Alas Nurse Practitioner 6005 Shepherd Sq, Columbia, MD 21044-3114 2020-08-20
1619587540 Josey Abraham Nurse Practitioner 305 Aiken Hunt Cir, Columbia, SC 29223-8407 2020-08-05
1588274765 Tomeka Nichole Jackson Nurse Practitioner 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 2020-08-03
1528696762 Mark Edward Merkel Nurse Practitioner 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 2020-04-01
1306489265 Andrew Leitch Nurse Practitioner 313 N Trenholm Rd, Columbia, SC 29206-3207 2019-10-23
1760033476 Emily Smith Nurse Practitioner 157 Chinquapin Cir, Columbia, SC 29212-2902 2019-09-24
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Competitor

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City COLUMBIA
Zip Code 29229

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Dataset Information

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.

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