Primary Care and Urgent Care of Nashville, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE AND URGENT CARE OF NASHVILLE, PLLC

Practice address

107 W Nashville Dr Ste a
Nashville, NC 27856-1289

Phone

(252) 676-8285

NPI assigned

Jan 26, 2023

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shandal Emanuel, MDNPI 1699777524

Title

Physician Owner

Phone

(252) 676-8285

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDABDD

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shandal S Emanuel, MD

  • Internal Medicine Physician
  • Nashville, NC
  • NPI 1699777524
  Medicare reassignment Care Compare group NPD Authorized official
• Haley Judd Frazier

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Mount, NC
  • NPI 1033898937
  Medicare reassignment Care Compare group NPD
• Monique Lee, NP

  • Primary Care Nurse Practitioner
  • Nashville, NC
  • NPI 1487450946
  Medicare reassignment Care Compare group NPD
• Heather Hanes Davis, PA-C

  • Physician Assistant
  • Nashville, NC
  • NPI 1023190477
  Medicare reassignment Care Compare group
• Wayne Paul Tamberelli, PA-C

  • Physician Assistant
  • Nashville, NC
  • NPI 1891829156
  Medicare reassignment Care Compare group
• Elizabeth Dawn Burnette, FNP

  • Family Nurse Practitioner
  • Rocky Mount, NC
  • NPI 1639489966
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1265148944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W NASHVILLE DR STE A",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561289",
            "telephone_number": "252-676-8285",
            "fax_number": "252-382-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W NASHVILLE DR STE A",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561289",
            "telephone_number": "252-676-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND URGENT CARE OF NASHVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-01-03",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "SHANDAL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "252-676-8285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pineda, OTR/L
• William B. Pittman, MD
• Chioma Pitts
• Plum Krazey & Co. LLC
• Prestigious Management
• Progressive Rehab, Inc.
• Briana Moore Pullano, PHARMD
• Pure Essence Solutions
• Melinda Roberson Rackley, MS, CCC-SLP
• Marcia Kimball Ratcliff, PT

• Internal Medicine Physician in Nashville, NC
• Providers in Nashville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.