Individual provider Active NPI

Evangeline G Gonzalez, MD

  • Internal Medicine Physician
  • Whiteville, NC
National Provider Identifier
1699873091
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014-02016 Issued in NC
Practice address
500 Jefferson St
Whiteville, NC 28472-3634
Phone
(910) 642-1776
NPI assigned
Sep 20, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 2014-02016 NC Primary
Hospitalist Physician 208M00000X 2014-02016 NC

Addresses

Primary practice location

500 Jefferson St
Whiteville, NC 28472-3634

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070

Other practice location 2

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6241

Other practice location 3

2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-6070

Other practice location 4

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address egonzalez163062@CarolinasHealthcareSystem.direct-ci.com Columbus Regional Healthcare System, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118002557 NC Practitioner - HospitalistPractitioner - Internal Medicine 3072707199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19457SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Healthcare System CurrentSince Sep 2, 2021 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Columbus Regional Healthcare System CurrentSince Sep 2, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2014 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Columbus Regional Health Network Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Columbus Regional Health Network CurrentSince Oct 1, 2014 Accepting new patients
Scotland Regional Health Network CurrentSince Oct 1, 2014 Accepting new patients
Scotland Regional Health Network Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Gonzalez Internal Medicine Associates, P.a. Internal Medicine Past Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Abbeville County Memorial Hospital Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

Interoperability endpoints

  • Direct secure messaging: egonzalez@crhn.cernerdirect.com
  • Direct secure messaging: egonzalez163062@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1699873091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-642-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10628 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108407",
            "country_code": "US",
            "telephone_number": "704-667-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623300",
            "country_code": "US",
            "telephone_number": "704-863-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Vail Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071248",
            "country_code": "US",
            "telephone_number": "704-304-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EVANGELINE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-02016",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2014-02016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egonzalez163062@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "500 Jefferson St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.