MANTRUST, LLC – General Practice Physician, NPI 1316331101

MANTRUST, LLC is a healthcare provider. based in Dothan, Alabama. specializing in General Practice Physician. The NPI Number for MANTRUST, LLC is 1316331101

Main info

Organization
Name
MANTRUST, LLC
NPI
1316331101
Phone
(334) 712-1170
Address
2812 HARTFORD HWY
Authorized Official
NANCY GILLEY ADMINISTRATOR
Enumeration Date
19 March 2015
Last Update Date
19 March 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for MANTRUST, LLC

  • 2812 HARTFORD HWY

    SUITE 1

    DOTHAN, AL 363054927

    Phone: (334) 712-1170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 36305)

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Reviews

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Frequently asked questions

What is the standard ID for MANTRUST, LLC in the U.S.?
In the U.S., MANTRUST, LLC is identified by NPI 1316331101.
Quick check: is MANTRUST, LLC active?
Public NPPES data shows MANTRUST, LLC with an active NPI status right now.
Which specialty label fits MANTRUST, LLC?
NPPES ties MANTRUST, LLC to General Practice Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MANTRUST, LLC?
MANTRUST, LLC is associated with Dothan, Alabama in the same public data insurers reference.
Who maintains MANTRUST, LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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