EBONY MARIE WHITE-MANIGAULT MD
NPI 1316686694
Family Medicine in Ann Arbor, MI

Active since June 03, 2022PECOS Enrolled
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ebony Marie White-manigault Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY MARIE WHITE-MANIGAULT MD (NPI 1316686694) is an individual family medicine provider in Ann Arbor, Michigan, licensed in Michigan (4301515848) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ypsilanti, and is a graduate of Wayne State University School Of Medicine (2022).

NPPES Registry Identity

NPI1316686694
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEBONY MARIE WHITE-MANIGAULTCredential: MD
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1316686694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301515848
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351049069 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Other Names 1

Former Name (1)Ebony Marie White

Secondary Practice Location 1

Location 1200 Arnet St Ste 200Ypsilanti, MI 48198-5753 · Phone (734) 482-6221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ebony Marie White-manigault Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345629036
PECOS Enrollment IDI20260710003346
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony White-manigault's NPI number?

The NPI number for Ebony White-manigault is 1316686694. It was assigned to this individual provider in the NPPES registry on June 3, 2022. The provider is also known as Ebony Marie White.

Where is Ebony White-manigault located?

Ebony White-manigault practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Ebony White-manigault's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ebony White-manigault enrolled in Medicare?

Yes. Ebony White-manigault is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebony White-manigault was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.