KELLY J. MANAHAN MD – NPI #1538156187
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

KELLY MANAHAN is a physician located in COLUMBUS, GA. NPPES has assigned the NPI number 1538156187 to KELLY MANAHAN on September 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 6 years ago on Aug 31, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY MANAHAN below.

NPI Profile for
KELLY J. MANAHAN

NPI Number
1538156187
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY J. MANAHAN
Credentials
MD
Primary location
1831 5TH AVE
COLUMBUS, GA 31904-8915
Phone: (706) 320-8780 Fax:
1 Other location(s):
2510 E DuPont Rd Ste 236
Fort Wayne, IN 46825-1603
Phone: (260) 458-3760
Fax: (260) 458-3761
Mailing address
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone: (260) 479-3514 Fax: (260) 479-3520
Sole Proprietor
No
Updated
Certification Date
Aug 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KELLY MANAHAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200135230A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
IN 01058411A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY MANAHAN is affiliated with the following medical group(s):
  • HOSPITAL
    • PIEDMONT COLUMBUS REGIONAL MIDTOWN
      710 CENTER STREET
      COLUMBUS, GA 31901
    • PIEDMONT COLUMBUS REGIONAL NORTHSIDE
      100 FRIST COURT
      COLUMBUS, GA 31909

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.