P Praxis·MD
● Active Type 1 · Individual

DR. Shane Nelson Manning, D.P.M.

Podiatrist·Atlanta, GA· NPI 1467447169 · Enumerated 2005 · 20 years on NPI
Manning is 1 of 32 podiatrist providers in Atlanta and 1 of 397 in Georgia.
NPI age
20 years
Enumerated 2005-09-19
Primary specialty
Podiatrist
Plus 2 subspecialties
Licensed in
GA, IN, OH
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 397 active podiatrist providers in Georgia.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
3 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
20 Glenlake Pkwy, Kaiser Permanente Glenlake
Atlanta, GA 303283473
📞 6206626000fax 6206692394
Mailing address
3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 303051717
📞 4043650966fax 6206692394

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #POD001209IN license #07001087AOH license #36003364M taxonomy 213ES0103X

Identifiers

TypeValueNotes
05 (OH) 2578974
05 (IN) 200952390
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 83 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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