1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Surgery
  6. NPI Profile

ELIZABETH ANN MANNINO MD
NPI 1336776095
Surgery - Trauma Surgery in Johnson City, TN

Active since March 24, 2020PECOS Enrolled
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604(423) 439-7201(423) 439-7219 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Mar 24, 2020 (2 updates tracked since 2020).

About Elizabeth Ann Mannino Md NPPES

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

ELIZABETH ANN MANNINO MD (NPI 1336776095) is an individual trauma surgery provider in Johnson City, Tennessee, licensed in Tennessee (74297) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Eastern Virginia Medical School (2020).

NPPES Registry Identity

NPI1336776095
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameELIZABETH ANN MANNINOCredential: MD
Location Address325 N STATE OF FRANKLIN RD FL 3Johnson City, TN 37604-6171
Mailing Address325 N State Of Franklin Rd Fl 3Johnson City, TN 37604-6171 · (423) 439-7201
Phone(423) 439-7201
Fax(423) 439-7219
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1336776095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in TN · 74297
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
325 N STATE OF FRANKLIN RD FL 3, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-7100 · Fax (901) 448-8472

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ann Mannino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345754933
PECOS Enrollment IDI20260422000371
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.

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.

CHARLOTTE HAWKINS MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
COLE BOZEMAN
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
DILLON G GRAVES
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
HENRY CLAUDE ELIACIN
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
SKYLARR BEERMAN DO
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
MS. ALEXIS NICOLE BOWDER MD
Surgery (Pediatric Surgery)
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
ABIGAIL DIANA OWENS DO
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
CHRISTOPHER GRANT MORGAN
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201

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 Elizabeth Mannino's NPI number?

The NPI number for Elizabeth Mannino is 1336776095. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Elizabeth Mannino located?

Elizabeth Mannino practices at 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604. The listed phone number is (423) 439-7201.

What is Elizabeth Mannino's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Elizabeth Mannino enrolled in Medicare?

Yes. Elizabeth Mannino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Mannino was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.