MEDICARE: ELISE MCMANAMAN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	APRN11019477	FL
2	363LW0102X	Women's Health Nurse Practitioner	RN1031565	DC
3	363LW0102X	Women's Health Nurse Practitioner	0024177602	VA
4	363LW0102X	Women's Health Nurse Practitioner	RN319751	GA
5	363LW0102X	Women's Health Nurse Practitioner	421651	NY
6	363LW0102X	Women's Health Nurse Practitioner	R232320	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295394526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE MCMANAMAN NP

Provider Business Mailing Address
First Line	:	333 S DESPLAINES ST STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60661-5514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3005 PEACHTREE RD NE STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2214
Country	:	US
Telephone Number	:	470-765-6347
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	05/21/2024

Similar Medicare Providers

1891390084 — PEACH STATE MEDICAL PRACTICE, PC
Practice Location Address:

3005 PEACHTREE RD NE
ATLANTA, GA
30305-2214

Practice Phone: 855-563-2639
Practice Fax:

1306850987 — MR. ROBERT EARL SPRINGER M.D.
Practice Location Address:

50 EXECUTIVE PARK SOUTH NE STE 5012
ATLANTA, GA
30329-2214

Practice Phone: 404-920-6201
Practice Fax: 404-920-6205

1669581286 — DR. DENNIS W SCALES D.C.,P.C.
Practice Location Address:

50 EXECUTIVE PARK SOUTH NE STE 5005
ATLANTA, GA
30329-2214

Practice Phone: 404-633-1767
Practice Fax: 404-633-1767

1679653950 — ROBERT E. SPRINGER III M.D. P.C
Practice Location Address:

50 EXECUTIVE PARK SOUTH NE , SUITE 5012
ATLANTA, GA
30329-2214

Practice Phone: 404-920-6201
Practice Fax: 404-920-6205

1639205586 — A BRIGHTER TOMORROW GROUP HOME
Practice Location Address:

2214 ATLANTA ST
GREENSBORO, NC
27406-4002

Practice Phone: 336-272-9503
Practice Fax: 336-378-9478

1831411156 — A BRIGHTER TOMORROW GROUP HOME
Practice Location Address:

2214 ATLANTA ST
GREENSBORO, NC
27406-4002

Practice Phone: 336-509-5559
Practice Fax: 336-378-9478

Directions to “ ELISE MCMANAMAN NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.