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

Mr. Juan Mannings, RSA

Individual provider Surgical Physician Assistant · NPI 1295976926

Mr. Juan Mannings, RSA is a Surgical Physician Assistant in Lithonia, Georgia. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

2218 Providence Point Dr
Lithonia, GA 30058-5167
Phone: (678) 799-5661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 238.000396 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 238.000396 (IL)

Record details

NPI number1295976926
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA
Sole proprietorYes
NPI enumeratedMarch 9, 2009
Last updated in NPPESJune 3, 2015

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