DR. CORY KANE MANSOUR M.D. NPI 1871903567

NPI Information

  • NPI: 1871903567
  • Provider Name: DR. CORY KANE MANSOUR, M.D.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3625 BRASELTON HWY STE 201
    DACULA, GA
    ZIP 30019
  • Phone: (678) 889-2326

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NPI Details

DR. Cory Kane Mansour, M.D. is a pain medicine anesthesiology in Dacula, GA with 13 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Cory Kane Mansour, M.D. NPI is 1871903567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

3625 BRASELTON HWY STE 201
DACULA, GA
ZIP 30019-695
Phone: (678) 889-2326

The NPI 1871903567 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 5/2/2014 and was last updated on 7/8/2021.

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
1207L00000XAnesthesiology81919GEORGIANo
2207LP2900XAnesthesiologyPain Medicine81919GEORGIAYes

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: 11/21/2025

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