NPIMap

Individual provider Active NPI

Miguel A Pineiro, PA

  • Physician Assistant
  • Southport, NC
National Provider Identifier
1891757498
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104137 Issued in NC
Practice address
4222 Long Beach Rd SE
Southport, NC 28461-8627
Phone
(910) 457-3800
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 104137 NC Primary

Addresses

Primary practice location

4222 Long Beach Rd SE
Southport, NC 28461-8627

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3800

Other practice location 1

3009 Medical Plaza Ln
Southport, NC 28461-5194
Phone (910) 457-3800

Other identifiers 1

IdentifierTypeStateIssuer
P00294380OtherNCRAILROAD MEDICARE

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
I20051103000314 NC Practitioner - Physician Assistant 3375561889 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, 53 clinicians

Practice addresses (Care Compare)

107 Weeks Dr
Roxboro, NC 27573-3929
Phone (336) 598-5480

3009 Medical Plaza LN
Southport, NC 28461-5194
Phone (910) 457-3827

4222 Long Beach Rd SE
Southport, NC 28461-8627
Phone (910) 457-3827

5130 Southport Supply Rd SE
Unit 101 1
Southport, NC 28461-9261
Phone (910) 269-2053

609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888

8312 Creedmoor Rd
Raleigh, NC 27613-1611
Phone (919) 782-0430

Hospital & facility affiliations

  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
104137NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients

Locations

3009 Medical Plaza Ln
Southport, NC 28461
Phone (910) 454-1234

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

Interoperability endpoints

  • Direct secure messaging: miguel.pineiro.1@1905.direct.athenahealth.com

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 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1891757498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618627",
            "telephone_number": "910-457-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 Medical Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284615194",
            "country_code": "US",
            "telephone_number": "910-457-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEIRO",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00294380",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.