MANOUCHKA L ETIENNE PA-C
NPI 1891680229
Physician Assistant - Medical in Brunswick, GA

Active since June 09, 2025PECOS EnrolledAccepts Medicare Assignment
1600 ELLIS ST, BRUNSWICK, GA 31520(912) 289-2006 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manouchka L Etienne Pa-c NPPES

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

MANOUCHKA L ETIENNE PA-C (NPI 1891680229) is an individual medical provider in Brunswick, Georgia, licensed in Georgia (13129) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891680229
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMANOUCHKA L ETIENNECredential: PA-C
Location Address1600 ELLIS STBrunswick, GA 31520-6737
Mailing Address6548 Constance StLake Worth, FL 33467-7660 · (561) 307-7859 · Fax (561) 307-7859
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1891680229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 13129
1600 ELLIS ST, Brunswick, GA 31520

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

Manouchka L Etienne Pa-c 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 ID3870094097
PECOS Enrollment IDI20250829000211
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.

Hospital Affiliations CMS Care Compare

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

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

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.

Counselor (Professional)
1600 ELLIS ST
BRUNSWICK, GA 31520
Pharmacy (Community/Retail Pharmacy)
1600 ELLIS ST
BRUNSWICK, GA 31520
Nurse Practitioner (Family)
1600 ELLIS ST
BRUNSWICK, GA 31520
Clinic/Center (Federally Qualified Health Center (FQHC))
1600 ELLIS ST
BRUNSWICK, GA 31520

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 Manouchka Etienne's NPI number?

The NPI number for Manouchka Etienne is 1891680229. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Manouchka Etienne located?

Manouchka Etienne practices at 1600 Ellis St, Brunswick, GA 31520. The listed phone number is (912) 289-2006.

What is Manouchka Etienne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Manouchka Etienne enrolled in Medicare?

Yes. Manouchka Etienne 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.

Is Manouchka Etienne affiliated with any hospitals?

According to CMS data, Manouchka Etienne is affiliated with Southeast Georgia Health System- Brunswick Campus.

When was this NPI record last updated?

The NPPES record for Manouchka Etienne was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.