ATLANTIC MEDICAL GROUP NPI 1558630483

NPI Information

  • NPI: 1558630483
  • Provider Name: ATLANTIC MEDICAL GROUP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: AMG ENDOSCOPY CENTER
  • Address: 2541 N.QUEEN ST
    KINSTON, NC
    ZIP 28501
  • Phone: (252) 527-3636

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NPI Details

ATLANTIC MEDICAL GROUP is an ambulatory surgical clinic center in Kinston, NC. ATLANTIC MEDICAL GROUP NPI is 1558630483. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Amg Endoscopy Center.

The provider's business location address is:

2541 N.QUEEN ST
KINSTON, NC
ZIP 28501-851
Phone: (252) 527-3636
Fax: (252) 523-7407

The provider's authorized official is Ikechukwu Eric Ibegbu .
The authorized official title is Office Manager and has the following contact phone number (252) 527-3636.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 12/21/2011 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology200401229NORTH CAROLINANo
2261QE0800XClinic/CenterEndoscopyNo
3261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15900314MEDICAIDNORTH CAROLINA
2139K1OTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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