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DR. SHANE NELSON MANNING D.P.M.
NPI 1467447169
Podiatrist - Foot & Ankle Surgery in Atlanta, GA

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE, ATLANTA, GA 30328(620) 662-6000(620) 669-2394 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shane Nelson Manning D.p.m. NPPES

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

DR. SHANE NELSON MANNING D.P.M. (NPI 1467447169) is an individual foot & ankle surgery provider in Atlanta, Georgia, licensed in Georgia (POD001209) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1467447169
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SHANE NELSON MANNINGCredential: D.P.M.
Location Address20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKEAtlanta, GA 30328-3473
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 365-0966 · Fax (620) 669-2394
Phone(620) 662-6000
Fax(620) 669-2394
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJanuary 7, 2022
✔ NPI 1467447169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in GA · POD001209✔ Licensed in IN · 07001087A✔ Licensed in OH · 36003364M
20 GLENLAKE PKWY, Atlanta, GA 30328
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Other Identifiers 2

Medicaid200952390IN
Medicaid2578974OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shane Nelson Manning D.p.m. 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 ID1456395300
PECOS Enrollment IDI20121218000031
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.

DR. MICHAEL DOUGLAS HELLSTROM MD
Otolaryngology
20 GLENLAKE PKWY, KAISER PERMANENTE MEDICAL GROUP GLENLAKE
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. ALAN MARC WEINBERG M.D.
Psychiatry & Neurology (Psychiatry)
20 GLENLAKE PKWY, DEPT OF BEHAVIORAL HEALTH
ATLANTA, GA 30328
Fulton County (404) 365-0966
MRS. EVA RIKER M.D.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7243
DR. VARUN GUPTA MD
Plastic Surgery
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. KHALID A SHASH MD
Internal Medicine (Cardiovascular Disease)
20 GLENLAKE PKWY, KAISER PERMANETE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (617) 629-6000
DR. LILLIAN KIM IVANSCO M.D., M.P.H.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7285
SHAWNA LEE WATSON M.D.
Orthopaedic Surgery
20 GLENLAKE PKWY
SANDY SPRINGS, GA 30328
Fulton County (470) 698-6488
MRS. CHERYL SUE ARNSON MA
Audiologist
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (770) 667-6154

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 Shane Manning's NPI number?

The NPI number for Shane Manning is 1467447169. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Shane Manning located?

Shane Manning practices at 20 Glenlake Pkwy Kaiser Permanente Glenlake, Atlanta, GA 30328. The listed phone number is (620) 662-6000.

What is Shane Manning's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shane Manning enrolled in Medicare?

Yes. Shane Manning is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shane Manning was last updated on January 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.