Mantrust, LLC
NPI 1316331101ActiveOrganization· General Practice· Dothan, AL
General Practice in Dothan, Alabama, registered in NPPES in March 2015. The authorized official on file is Nancy Gilley, Administrator.
Overview
| NPI | 1316331101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2015 |
| Last updated in NPPES | Mar 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Dothan
- 1104282292
- 1023833142
- 1447006648
- 1184249880