DR. SHANE NELSON MANNING (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1467447169

DR. SHANE NELSON MANNING (D.P.M.) is a healthcare provider. based in Atlanta, Georgia. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 07001087A (IN). The NPI Number for DR. SHANE NELSON MANNING (D.P.M.) is 1467447169

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE NELSON MANNING (D.P.M.)
NPI
1467447169
Phone
(404) 365-0966
Address
3495 PIEDMONT ROAD, NE
Enumeration Date
19 September 2005
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043647206
Graduation Year
2002 (24 years ago)
PAC ID
1456395300
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20121218000031
Address ID
GA303051729AT3495XNEXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

432 PODIATRY in GA

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Provider Addresses for DR. SHANE NELSON MANNING (D.P.M.)

  • Fairfield Inn & Suites Atlanta Buckhead, 3092, Piedmont Road Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States

    NINE PIEDMONT CENTER

    ATLANTA, GA 303051736

    Phone: (404) 365-0966

    Fax: (620) 669-2394

    Type: Mailing

  • 20, Glenlake Parkway Northeast, Atlanta, Fulton County, Georgia, 30328, United States

    KAISER PERMANENTE GLENLAKE

    ATLANTA, GA 303283473

    Phone: (620) 662-6000

    Fax: (620) 669-2394

    Type: Location

  • 3495 PIEDMONT RD NE

    NINE PIEDMONT CENTER

    ATLANTA, GA 303051717

    Phone: (404) 365-0966

    Fax: (620) 669-2394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-07 • Largest payer in this snapshot: Smith+Nephew, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121218000031IPodiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204829013View full group profile

Reviews

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Frequently asked questions

What is DR. SHANE NELSON MANNING (D.P.M.)'s NPI number?
DR. SHANE NELSON MANNING (D.P.M.)'s NPI is 1467447169 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. SHANE NELSON MANNING (D.P.M.)?
For scheduling context, DR. SHANE NELSON MANNING (D.P.M.) is shown as active in the registry.
What expertise is attributed to DR. SHANE NELSON MANNING (D.P.M.)?
DR. SHANE NELSON MANNING (D.P.M.)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHANE NELSON MANNING (D.P.M.)?
Travel planning: use Atlanta, Georgia as the reference point for DR. SHANE NELSON MANNING (D.P.M.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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