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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1891790465

Keith Derek Mannes, MD is a Pathology in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 1998, 28 years ago. Practices with Pathology and Laboratory Medicine, PC, a 26-clinician group. Licensed in Georgia.

Years since qualifying
28
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3300 Buckeye Rd Ste 178
Atlanta, GA 30341-4232
Phone: (770) 458-6103
Fax: (770) 234-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 052783 (GA)

Record details

NPI number1891790465
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Pathology And Laboratory Medicine, Pc — 26 clinicians
Accepts Medicare assignment Not indicated

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