Ebot Manga
NPI 1164920716 · Family Nurse Practitioner · Dacula, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebot Manga is a Family Nurse Practitioner provider in Dacula, GA (NPI 1164920716).
Provider details
- NPI number
- 1164920716
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 147685 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,441 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 | 432 | $33 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 282 | $108 |
| Application of Skin Substitute Graft to Wound of Trunk, Arms, Or Legs, 25.0 Sq Cm Or Less of Wound 100.0 Sq Cm Or Less15271 | 261 | $127 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 234 | $63 |
| Application of Skin Substitute Graft to Wound of Trunk, Arms, Or Legs, Each Additional 25.0 Sq Cm of Wound 100.0 Sq Cm Or Less15272 | 91 | $20 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-29
- Last updated
- 2021-07-20
- Certified
- 2021-07-20
Frequently asked questions
- What is Ebot Manga's NPI number?
- Ebot Manga's National Provider Identifier (NPI) is 1164920716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebot Manga's specialty?
- Ebot Manga is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ebot Manga located?
- Ebot Manga's practice location on file with NPPES is 2064 Lilac Arbor Way, Dacula, GA 30019-2475.
- What is Ebot Manga's phone number?
- The practice phone number listed in the NPPES registry for Ebot Manga is (678) 887-4367.
- Does Ebot Manga accept Medicare?
- Ebot Manga is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebot Manga's NPI active?
- Yes — Ebot Manga's NPI (1164920716) is active in the NPPES registry as of the last update on 2021-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.