NPIMap

Individual provider Active NPI

Shandal S Emanuel, MD

  • Internal Medicine Physician
  • Nashville, NC
National Provider Identifier
1699777524
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200500405 Issued in NC
Practice address
107 W Nashville Dr Ste a
Nashville, NC 27856-1289
Phone
(252) 676-8285
Fax
(252) 507-0771
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200500405 NC Primary
Pediatrics Physician 208000000X 200500405 NC

Addresses

Primary practice location

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

Mailing address

107 W Nashville Dr Ste a
Nashville, NC 27856-1289
Phone (252) 676-8285

Other identifiers 6

IdentifierTypeStateIssuer
313413OtherNCWELLPATH ID
6114784OtherNCCIGNA ID
5607350OtherNCFIRST HEALTH ID
14015OtherNCBC/BS ID
7740703OtherNCAETNA ID
E3288OtherNCMEDCOST ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000130 NC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9537105309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care and Urgent Care of Nashville, PLLCGroup PAC ID 4880069533, 5 clinicians
Nash Hospitals IncGroup PAC ID 4284521568, 39 clinicians

Practice addresses (Care Compare)

107 W Nashville Dr
Nashville, NC 27856-1289
Phone (252) 822-3583

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8199

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Well Care Home Health, Inc Home health agency, Raleigh, NC, CCN 347192
  • Centerwell Home Health Home health agency, Rocky Mount, NC, CCN 347328
  • Healthview Home Health & Hospice, LLC Home health agency, Rocky Mount, NC, CCN 347056
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Community Home Care & Hospice Hospice, Roanoke Rapids, NC, CCN 341585
  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Scotland Manor Health and Rehabilitation Center Nursing home, Scotland Neck, NC, CCN 345375
  • Autumn Care of Nash Nursing home, Nashville, NC, CCN 345514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200500405NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Hospitals, Inc. Current Accepting new patients
Nash Hospitals Inc CurrentSince Mar 1, 2014 Accepting new patients
Nash Hospitals Inc CurrentSince Mar 1, 2014 Accepting new patients
Primary Care and Urgent Care of Nashville, PLLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
County of Nash Past Accepting new patients
Our Community Hospital, Inc Past Accepting new patients
Scotland Neck NC Opco LLC Past Accepting new patients
Accordius Health at Scotland Manor, LLC Past Accepting new patients

Locations

107 W Nashville Dr
Nashville, NC 27856
Phone (252) 822-3583

107 W Nashville Dr
Ste A
Nashville, NC 27856
Phone (252) 676-8285

1041 Noell Ln
Ste 105
Rocky Mount, NC 27804
Phone (252) 442-9600

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Scotland Manor Health and Rehabilitation CenterScotland Neck, NC, CCN 345375 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Apr 29, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1699777524",
    "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": "252-507-0771"
        },
        {
            "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",
            "fax_number": "252-507-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUEL",
        "first_name": "SHANDAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200500405",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200500405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH ID",
            "identifier": "313413",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "6114784",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH ID",
            "identifier": "5607350",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID",
            "identifier": "14015",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7740703",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST ID",
            "identifier": "E3288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

Verify at the official NPI Registry.