Active NPI
Emmanuel Estranero Eugenio, M.D.
- Pediatrics Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2025-01504
- Practice address
- 36 McNeill PLZ
Whiteville, NC 28472-8602 - Phone
- (910) 640-4064
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2025-01504 | NC | Primary |
Addresses
Primary practice location
36 McNeill PLZ
Whiteville, NC 28472-8602
Mailing address
36 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 640-4064
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223542 | Other | VA | ANTHEM BCBS OF VA |
| 4944612 | Other | VA | CIGNA |
| 5488498 | Other | VA | AETNA HMO |
| 006710018 | Medicaid | VA | |
| 270500 | Other | VA | SOUTHERN HEALTH SERVICES |
| C06193 | Other | VA | GROUP PTAN |
| 45912 | Other | VA | SENTARA |
| 5488498 | Other | VA | AETNA LIFE |
| 854726 | Other | VA | MAMSI |
| 1174551733 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4435 Golf Acres Dr
Charlotte, NC 28208-5947
PO Box
Suite 19305
Charlotte, NC 28219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01504 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Current | Accepting new patients | |
| Childrens Hospital of the Kings Daughters Inc | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Pediatrics | Current | Accepting new patients |
| Bon Secours - Memorial Regional Medical Center, Inc. | Past | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients |
Locations
36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
817 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 668-4630
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Family Care
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
dba CHKD Urgent Care
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1578954590
-
dba Advanced Orthopedics
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
dba Advanced Pediatrics & Family Care
- Pediatrics Physician
- Whiteville, NC
- NPI 1851724645
-
dba Advanced Primary Care
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
dba The Bon Secours Program for Diabetes Health - Memorial Regional Medica
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsville, VA
- NPI 1003451410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1174551733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MCNEILL PLZ",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728602",
"telephone_number": "910-640-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 MCNEILL PLZ",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728602",
"telephone_number": "910-640-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUGENIO",
"first_name": "EMMANUEL",
"middle_name": "ESTRANERO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2025-01504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VA",
"identifier": "223542",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4944612",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "5488498",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006710018",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES",
"identifier": "270500",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06193",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "45912",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE",
"identifier": "5488498",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "854726",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174551733",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
- Alicia East, M.S. CCC-SLP
- Eastern Carolinas Imaging
- Eastern Carolinas Imaging, LLC
- Eckerd Corporation (Rite Aid Pharmacy 11529)
- Kaylan Elizabeth Edwards, M.D.
- Evergreen Actt, Inc.
- Evergreen Behavioral
- Evergreen Behavioral Management Inc
- Evergreen Behavioral Management, Inc.
- Evergreen Behavioral Management, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.