CAROLINA MARIE MANCEAUX (PA-C) – Physician Assistant, NPI 1124736319
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,463 PHYSICIAN ASSISTANT in GA
Provider Addresses for CAROLINA MARIE MANCEAUX (PA-C)
5323 HARRY HINES BLVD
DALLAS, TX 753909090
Phone:
Type: Mailing
2409 N PATTERSON ST
VALDOSTA, GA 316022512
Phone: (229) 259-4369
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $999.
Total Amount is formed as General ($999) + Research ($0) + Ownership ($0) = $999.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($613).
Total Amount
$999
General + Research + Ownership
Payments
13
Total payment records
General Amount
$999
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-03-31
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230331001643 | I | Physician Assistant | GA | TBD |
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.
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 75390)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | NY | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| N E U R O L O G Y | GA | |
| General Surgery, Vascular Surgery | GA | |
| Pulmonary Disease, Sleep Medicine | WI |
Reviews
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