P Praxis·MD
● Active Type 1 · Individual

Iviensan Fernandez Manalo, M.D.

Dermatology·Atlanta, GA· NPI 1730542879 · Enumerated 2016 · 10 years on NPI
Manalo is 1 of 106 dermatology providers in Atlanta and 1 of 483 in Georgia.
NPI age
10 years
Enumerated 2016-04-04
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
10 years
↓ 8 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
875 Johnson Fy Rd Ne Ste 300
Atlanta, GA 303421418
📞 4042579933
Mailing address
875 Johnson Fy Rd Ne Ste 300
Atlanta, GA 303421418
📞 4042579933

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #85708 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 9 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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