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HEATHER MARIE GOODWIN MANCEBO
NPI 1689802068
Family Medicine in Monroe, GA

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
2130 W SPRING STREET, SUITE 300, MONROE, GA 30655(678) 905-9121 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Marie Goodwin Mancebo NPPES

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

HEATHER MARIE GOODWIN MANCEBO (NPI 1689802068) is an individual family medicine provider in Monroe, Georgia, licensed in Georgia (96784) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2009).

NPPES Registry Identity

NPI1689802068
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER MARIE GOODWIN MANCEBO
Location Address2130 W SPRING STREET, SUITE 300Monroe, GA 30655
Mailing Address296 Hamby LnSocial Circle, GA 30025-4851
Phone(678) 905-9121
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2009
Enumeration DateJune 24, 2009
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1689802068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 96784✔ Licensed in NY · 282980✔ Licensed in MD · D0074885
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.
2130 W SPRING STREET, SUITE 300, Monroe, GA 30655
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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

Heather Marie Goodwin Mancebo 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 ID3476798745
PECOS Enrollment IDI20230829000996
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Heather Mancebo's NPI number?

The NPI number for Heather Mancebo is 1689802068. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Heather Mancebo located?

Heather Mancebo practices at 2130 W Spring Street, Suite 300, Monroe, GA 30655. The listed phone number is (678) 905-9121.

What is Heather Mancebo's specialty?

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

Is Heather Mancebo enrolled in Medicare?

Yes. Heather Mancebo 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 Heather Mancebo was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.