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Dawn B Mancuso, MD, LLC

Dawn B Mancuso, MD, LLC is a healthcare organization registered as Family Medicine Physician in Madison, AL, holding Type 2 (organization) NPI 1114141744 since 2007. The authorized official on file is Anthony Mancuso, Cfo.

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NPI 1114141744
Entity type Organization (Type 2)
Legal business name Dawn B Mancuso, MD, LLC
Other name <Unavail>
Practice address 12205 COUNTY LINE RD, SUITE B, Madison, AL, 35758
Phone 2569908446
Fax 2564610393
Enumeration date 2007-04-13
Last updated in NPPES 2018-12-07

Authorized official

Name Anthony Mancuso
Title Cfo
Phone 2569908446

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary 00015990 AL

Other identifiers

Identifier Type State Issuer
529910550 Medicaid AL
051506404 Other AL MANCUSO BCBS
Copy-ready billing details
Provider: Dawn B Mancuso, MD, LLC
NPI: 1114141744
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 12205 COUNTY LINE RD, SUITE B, Madison, AL, 35758

Providers at this address

NPI Name Type Specialty Location
1457323347 Anthony Houssain Individual Chiropractor Madison, AL
1073568051 Robert Ragone Individual Chiropractor Madison, AL
1114935756 Dawn Mancuso Individual Family Medicine Physician Madison, AL
1083623987 David Purner Individual Family Medicine Physician Madison, AL
1336244599 Nicole Bock Individual Chiropractor Madison, AL
1013013143 Jonathan Robinson Individual Chiropractor Madison, AL
1033387758 Trella Dutton Individual General Practice Dentistry Madison, AL
1801067137 Shelley Whitney Individual Family Nurse Practitioner Madison, AL

Verify this record

Cross-check NPI 1114141744 against the authoritative CMS record: view Dawn B Mancuso, MD, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Dawn B Mancuso, MD, LLC?
The NPI for Dawn B Mancuso, MD, LLC is 1114141744, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dawn B Mancuso, MD, LLC?
NPPES lists Anthony Mancuso (Cfo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-12-07.