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

Q: 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.

Q: What is Elizabeth Mannino's specialty?

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

Q: 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 6 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.

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment

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: November 01, 2026.

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

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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, is affiliated with Regional One Health, and maintains a secondary practice location in Memphis.

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Ann Mannino Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Mannino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Regional One Physicians Inc

437 mi

Surgery

877 JEFFERSON AVE
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
421 clinicians in this Medicare group

NPI 1093130585 (901) 545-8336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440152

Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County

Emergency services Birthing friendly

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