Aundrea Rae Emanuel, FNP
Individual provider Active NPI Family Nurse Practitioner · Fairmont, NC
NPI 1811965692 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1811965692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0050-01133 (NC)
- Practice address
- 101 N Walnut St
Fairmont, NC 28340-1951 - Phone
- (910) 628-0655
- Fax
- (910) 628-0158
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unc Physicians Network LLC
Practice addresses (Care Compare)
101 N Walnut St
Fairmont, NC 28340-1951
Phone (910) 628-0655
Hospital & facility affiliations
- Southeastern Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091111000650 | NC | Practitioner - Nurse Practitioner | 7618015694 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-01133 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Regional Physician Services | Current |
Accepting new patients | |
| Southeastern Regional Physician Services | Current |
Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current |
Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
101 N Walnut St
Fairmont, NC 28340
Phone (910) 628-0655
2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290
2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048
395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
812 Candy Park Rd
Pembroke, NC 28372
Phone (910) 521-0201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0050-01133 | NC | Yes |
Addresses
Primary practice location
101 N Walnut St
Fairmont, NC 28340-1951
Mailing address
5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aemanuel846140@direct.UNC.nchie.net | Direct |
Other providers in Fairmont, NC
- Robert McDow Cureton
- Danny Cox
- David F Curtis
- Kristy Deese
- Eden Health Care Services Inc
- Kasey Oxendine Epps
- Samuel Gene Evans Jr.
- Fairmont Area EMS & Rescue
- Fairmont Dental Inc
- Fairmont Drug Company LLC
All providers in Fairmont, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.