DR. LARRY DOUGLAS MANN M.D. NPI 1538130026

NPI Information

NPI: 1538130026
Provider Name: DR. LARRY DOUGLAS MANN, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
2406 BLUE RIDGE RD
SUITE 100
RALEIGH, NC
ZIP 27607
Phone: (919) 786-5001
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DR. Larry Douglas Mann, M.D. is an adolescent medicine pediatrics in Raleigh, NC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Larry Douglas Mann, M.D. NPI is 1538130026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2406 BLUE RIDGE RD
SUITE 100
RALEIGH, NC
ZIP 27607-678
Phone: (919) 786-5001
Fax: (919) 786-5051

The NPI 1538130026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	31574	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C03225	MEDICARE UPIN	NORTH CAROLINA
2	8953871	MEDICAID	NORTH CAROLINA
3	45876	OTHER	NORTH CAROLINA	BLUECROSSBLUESHIELD INS #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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