NPI age
20 years
Enumerated 2005-07-12
● Active
Type 1 · Individual
DR. Gonzalo Mantilla, M.D.
Mantilla is 1 of 6 pediatrics providers in Marietta and 1 of 187 in Georgia.
Primary specialty
Pediatrics
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 187 active pediatrics providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
777 Franklin Gtwy Se
Marietta, GA 300677803
Mailing address
777 Franklin Gtwy Se
Marietta, GA 300677803
Specialties
-
Pediatrics PrimaryA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | 10926 | BLUE CROSS BLUE SHIELD |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.