Gonzalo Mantilla, M.D.
Gonzalo Mantilla, M.D. is a Neonatal-Perinatal Medicine Physician in Marietta, GA, registered under NPI 1629076799.
Getting there
The practice address on file is 777 FRANKLIN GTWY SE, Marietta, GA 30067. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME 22858 | FL | Neonatal-Perinatal Medicine Physician primary |
This provider holds licence ME 22858 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Pediatric Medicine
- PAC ID
- 4385931286
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neonatal-Perinatal Medicine covers
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. NUCC Health Care Provider Taxonomy, code 2080N0001X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1629076799 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 12, 2005 |
| Last updated | May 18, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
777 FRANKLIN GTWY SE Marietta, GA 30067 (770) 732-6007 |
| Other identifiers |
10926
· BLUE CROSS BLUE SHIELD (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 0 | 7 | 6 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 0 | 7 | 3 | 7 | 9 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.