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DR. GONZALO MANTILLA M.D.
NPI 1629076799
Pediatrics - Neonatal-Perinatal Medicine in Marietta, GA

Active since July 12, 2005PECOS Enrolled
777 FRANKLIN GTWY SE, MARIETTA, GA 30067(770) 732-6007 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gonzalo Mantilla M.d. NPPES

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

DR. GONZALO MANTILLA M.D. (NPI 1629076799) is an individual neonatal-perinatal medicine provider in Marietta, Georgia, licensed in Florida (ME 22858) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629076799
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. GONZALO MANTILLACredential: M.D.
Location Address777 FRANKLIN GTWY SEMarietta, GA 30067-7803
Mailing Address777 Franklin Gtwy SeMarietta, GA 30067-7803 · (770) 732-6007
Phone(770) 732-6007
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1629076799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in FL · ME 22858
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
777 FRANKLIN GTWY SE, Marietta, GA 30067
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Other Identifiers 1

Other10926FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gonzalo Mantilla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

HANNAH LECESNE DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
777 FRANKLIN GTWY SE
MARIETTA, GA 30067
Cobb County (770) 732-6007
ASHLEY JUSTICE
Nurse Practitioner (Pediatrics)
777 FRANKLIN GTWY SE
MARIETTA, GA 30067
Cobb County (770) 732-6007
LIANA N FREIRES NP
Nurse Practitioner (Family)
777 FRANKLIN GTWY SE
MARIETTA, GA 30067
Cobb County (770) 732-6007
NAYANI TEIXIRA DE OLIVEIRA MACIEL MD
Pediatrics
777 FRANKLIN GTWY SE
MARIETTA, GA 30067
Cobb County (770) 732-6007
NNOKP
Nurse Practitioner (Pediatrics)
777 FRANKLIN GTWY SE
MARIETTA, GA 30067
Cobb County (770) 732-6007

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 Gonzalo Mantilla's NPI number?

The NPI number for Gonzalo Mantilla is 1629076799. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Gonzalo Mantilla located?

Gonzalo Mantilla practices at 777 Franklin Gtwy SE, Marietta, GA 30067. The listed phone number is (770) 732-6007.

What is Gonzalo Mantilla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Gonzalo Mantilla enrolled in Medicare?

Yes. Gonzalo Mantilla is registered in the Medicare PECOS enrollment system.

What insurance does Gonzalo Mantilla accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gonzalo Mantilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gonzalo Mantilla was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.