DR. CORY KANE MANSOUR M.D.
NPI 1871903567
Anesthesiology - Pain Medicine in Dacula, GA

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
3625 BRASELTON HWY STE 201, DACULA, GA 30019(678) 889-2326 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Jul 29, 2019 (2 updates tracked since 2019).

About Dr. Cory Kane Mansour M.d. NPPES

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

DR. CORY KANE MANSOUR M.D. (NPI 1871903567) is an individual pain medicine provider in Dacula, Georgia, licensed in Georgia (81919) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1871903567
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. CORY KANE MANSOURCredential: M.D.
Location Address3625 BRASELTON HWY STE 201Dacula, GA 30019-4695
Mailing Address1364 Clifton Rd Ne # T5l38Atlanta, GA 30322-1059
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateMay 2, 2014
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1871903567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in GA · 81919
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 81919 (GA)
3625 BRASELTON HWY STE 201, Dacula, GA 30019

Secondary Practice Location 1

Location 11364 Clifton Rd NE # T5L38Atlanta, GA 30322 · Phone (404) 778-4756

Accepted Insurance

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. Cory Kane Mansour M.d. 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 ID4183059447
PECOS Enrollment IDI20200114001992
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
182 services62 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
16 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Other Providers at the Same Location NPPES 4

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

Anesthesiology
3625 BRASELTON HWY STE 201
DACULA, GA 30019
Physician Assistant (Medical)
3625 BRASELTON HWY STE 201
DACULA, GA 30019
Nurse Practitioner (Family)
3625 BRASELTON HWY STE 201
DACULA, GA 30019
Clinic/Center (Pain)
3625 BRASELTON HWY STE 201
DACULA, GA 30019

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 Cory Mansour's NPI number?

The NPI number for Cory Mansour is 1871903567. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Cory Mansour located?

Cory Mansour practices at 3625 Braselton Hwy Ste 201, Dacula, GA 30019. The listed phone number is (678) 889-2326.

What is Cory Mansour's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Cory Mansour enrolled in Medicare?

Yes. Cory Mansour 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.

What insurance does Cory Mansour accept?

Health plans from Alliant Health Plans, Inc. list Cory Mansour 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 Cory Mansour was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.