Skip to content
NPISignal

Individual Healthcare Provider

Meenakumari Manoharan

NPI Record: ActivePsychiatry & Neurology — Addiction Medicine
NPI1003476250
Augusta, Georgia

Provider's NPPES record last updated: July 24, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1003476250
Primary Specialty
Psychiatry & Neurology — Addiction Medicine
Practice Location
Augusta, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 9:59 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

    Taxonomy code 2084A0401X
  • Family Medicine

    Geriatric Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

    Taxonomy code 207QG0300X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X

Provider-Reported License Information

Psychiatry & Neurology (Georgia)
87682
Family Medicine (Pennsylvania)
MT219074
General Practice (Georgia)
87682
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

997 Saint Sebastian Way

Augusta, Georgia 30912-2613

Phone: (706) 721-6597

Additional Practice Location

801 Ostrum St

Fountain Hill, Pennsylvania 18015-1000

Phone: (484) 526-7035

Fax: (484) 526-7040

Additional Practice Location

1120 15th St

Augusta, Georgia 30912-0004

Phone: (706) 721-6597

Record Information

Enumeration Date
June 19, 2019
Provider's NPPES Record Last Updated
July 24, 2026
Certification Date
July 24, 2026
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue