Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Nelson Manning, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1467447169

Dr. Shane Nelson Manning, DPM is a Podiatry in Atlanta, Georgia. Qualified in 2002, 24 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia, Indiana and Ohio.

Years since qualifying
24
Licensed in
GA, IN, OH
In the registry since
2005
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

20 Glenlake Pkwy Kaiser Permanente Glenlake
Atlanta, GA 30328-3473
Phone: (620) 662-6000
Fax: (620) 669-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001209 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 07001087A (IN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 36003364M (OH)

Record details

NPI number1467447169
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESJanuary 7, 2022
Mailing address3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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