ATLANTIC MEDICAL GROUP (NPI# 1558630483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558630483 |
| Entity Type | Organization |
| Organization Name | ATLANTIC MEDICAL GROUP |
| Other Organization Name | AMG ENDOSCOPY CENTER |
| Practice Address |
2541 N.queen St Kinston NC 28501-3851 |
| Practice Telephone | 2525273636 |
| Practice Fax Number | 2525237407 |
| Mailing Telephone | 2525273636 |
| Mailing Fax Number | 2525237407 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | IKECHUKWU ERIC IBEGBU (OFFICE MANAGER) |
| Authorized Official Telephone | 2525273636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
200401229 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900314 | 05 | |
| NC | BCBS | 139K1 | 01 |
| Other Name | Type Code |
|---|---|
| AMG ENDOSCOPY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114391927 | Atlantic Medical Group | Dietitian, Registered | 4 Josh Court, Jacksonville, Nc, NC 28546-5253 | 2015-11-17 |
| 1770968943 | Atlantic Medical Group | Clinic/Center | 3501 Lesh St Ne, Canton, OH 44705-4376 | 2015-07-29 |
| 1720375728 | Atlantic Medical Group | Specialist | 1518 Monte Sano Ave, Augusta, GA 30904-5323 | 2011-06-29 |
| 1962728394 | Atlantic Medical Group | Internal Medicine | 4 Josh Court, Jacksonville, NC 28546-5253 | 2010-04-09 |
| 1144281247 | Atlantic Medical Group | Internal Medicine | 1541 S Wickham Rd, West Melbourne, FL 32904-3540 | 2006-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ATLANTIC MEDICAL GROUP INC. | 105 Hanover St, Staten Island, Ny 10309 |
| Connecticut Business Registrations | ATLANTIC MEDICAL GROUP, INC. | 116 Granite Street, Westerly, RI 02891 |
| Street Address |
2541 N.QUEEN ST |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852353 | Mark D Marilley | Internal Medicine | 701 Doctors Dr, Suite N, Kinston, NC 28501-1584 | 2005-06-24 |
| 1285637108 | Joseph Anthony Saracino | Internal Medicine | 2602 N Herritage St, Kinston, NC 28501-1503 | 2005-05-24 |
| 1548308976 | Kinston Digestive Diseases Pa | Internal Medicine | 1100 Hardee Rd, Suite 103b, Kinston, NC 28504 | 2007-02-01 |
| 1548312432 | Richard James Kroeger | Internal Medicine | 1100 Hardee Rd, Suite 103 B, Kinston, NC 28504 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.