ZACHARY MANTOOTH APRN
NPI 1992190573
Nurse Practitioner - Adult Health in Columbia, SC

Q: What is Zachary Mantooth's NPI number?

The NPI number for Zachary Mantooth is 1992190573. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Q: What is Zachary Mantooth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Mantooth was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 01, 2015PECOS Enrolled

6439 GARNERS FERRY RD, COLUMBIA, SC 29209(803) 776-4000 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Zachary Mantooth Aprn NPPES

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

ZACHARY MANTOOTH APRN (NPI 1992190573) is an individual adult health provider in Columbia, South Carolina, licensed in South Carolina (19305) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992190573

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameZACHARY MANTOOTHCredential: APRN

Location Address6439 GARNERS FERRY RDColumbia, SC 29209-1638

Mailing Address6439 Garners Ferry RdColumbia, SC 29209-1638 · (803) 776-4000

Phone(803) 776-4000

Sole ProprietorNo

Enumeration DateApril 1, 2015

✔ NPI 1992190573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 19305

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 19305 (SC)

6439 GARNERS FERRY RD, Columbia, SC 29209

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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 (PECOS)

Zachary Mantooth Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29209 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

ALEXANDER CORBOY DR.

Pharmacist