ATLANTIC MEDICAL GROUP (NPI# 1114391927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114391927 |
| Entity Type | Organization |
| Organization Name | ATLANTIC MEDICAL GROUP |
| Practice Address |
4 Josh Court Jacksonville, Nc NC 28546-5253 |
| Mailing Address |
804 Edgemoor Road Cherry Hill NJ 08034 |
| Practice Telephone | 9105773636 |
| Mailing Telephone | 8569120032 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | MS. NATALIE MARIE GIBSON (DIETITIAN AND FITNESS COACH) |
| Authorized Official Telephone | 8569120032 |
| Authorized Official Credential | R.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86008839 | NJ | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630483 | Atlantic Medical Group | Internal Medicine | 2541 N.queen St, Kinston, NC 28501-3851 | 2011-12-21 |
| 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 |
4 JOSH COURT |
| City | JACKSONVILLE, NC |
| State | NC |
| Zip Code | 28546-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184947 | Freely Fed | Dietitian, Registered | 1532 Wickerby Ct, Matthews, NC 28105-0322 | 2020-11-04 |
| 1023618774 | Shannon Vasilinda | Dietitian, Registered | 450 Lake Royale, Louisburg, NC 27549-9565 | 2020-10-30 |
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1659971406 | Lauren Rubio-serrano | Dietitian, Registered | 21 Mount Vernon Cir, Asheville, NC 28804-2439 | 2020-10-30 |
| 1336749407 | Doretta Wright | Dietitian, Registered | 110 Highgrove Ct, Aberdeen, NC 28315-2149 | 2020-10-28 |
| 1003414756 | Christy Nell Quirk | Dietitian, Registered | 117 Oldham Pl, Chapel Hill, NC 27516-9004 | 2020-10-14 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1033716436 | Katherine Openshaw | Dietitian, Registered | 521 Walnut Creek Dr, Goldsboro, NC 27534-8997 | 2020-10-08 |
| 1184221665 | Jennifer M Ritchie | Dietitian, Registered | 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 | 2020-10-07 |
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE, NC |
| Zip Code | 28546 |
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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.