Doctor profile · Federal record
Dr. Ebot Manga
Family Nurse Practitioner (CMS: Nurse Practitioner) · Dacula, GA
- NPI 1164920716
- Accepts Medicare
- 10 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2064 Lilac Arbor Way
Dacula, GA 300192475
(678) 887-4367
Credentials & registration
- NPI registered
- January 2018 — 8 yrs on file
- Profile last updated
- July 20, 2021
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Georgia #147685
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164920716. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,236
Distinct HCPCS
5
Medicare allowed
$3,447,048
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q4236 |
Carepatch, per square centimeter | 3,018 | 25 | $1,136 | |
15271 |
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 less | 72 | 24 | $126 | |
15272 |
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 less | 69 | 11 | $20 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 40 | 24 | $108 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 37 | 25 | $63 |
In context: peer comparison
Among 11 peers in Dacula Family Nurse Practitioner, average services per provider: 110. This provider delivers 29× the peer median.Open Payments
Industry payments received
All-time total
$124
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Teva Pharmaceuticals USA, INC. | 1 | $124.41 |
By nature of payment
Frequently asked questions
What is Dr. Ebot Manga's medical specialty?
Dr. Ebot Manga practices Family Nurse Practitioner in Dacula, GA.
Where does Dr. Ebot Manga practice?
Dr. Ebot Manga practices at 2064 Lilac Arbor Way, Dacula, GA 300192475. Office phone: 6788874367.
What is Dr. Ebot Manga's NPI?
Dr. Ebot Manga's National Provider Identifier (NPI) is 1164920716, issued by NPPES.
Does Dr. Ebot Manga accept Medicare assignment?
Yes. Dr. Ebot Manga accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ebot Manga commonly perform?
Top Medicare-reported procedures in 2023: Carepatch, per square centimeter (HCPCS Q4236); 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 less (HCPCS 15271); 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 less (HCPCS 15272). Source: CMS Medicare Physician & Other Practitioners file.