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AFFILIATED MEDICAL GROUP PLLC NPI 1922280700


NPI Information

NPI: 1922280700
Provider Name: AFFILIATED MEDICAL GROUP, PLLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
39 OFFICE PARK DR STE A
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 939-0724
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AFFILIATED MEDICAL GROUP, PLLC is a psychiatry psychiatry neurology in Jacksonville, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. AFFILIATED MEDICAL GROUP, PLLC NPI is 1922280700. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

39 OFFICE PARK DR STE A
JACKSONVILLE, NC
ZIP 28546-220
Phone: (910) 939-0724
Fax: (910) 333-9145

The provider's authorized official is David Joseph Ahlberg .
The authorized official title is Owner and has the following contact phone number (910) 939-0724.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 10/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15908381MEDICAIDNORTH CAROLINA

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: 4/28/2024

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