NPIMap

Organization Active NPI

Atlantic General Hospital Corp

  • Multi-Specialty Clinic/Center
  • Berlin, MD
National Provider Identifier
1043714306
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ATLANTIC GENERAL HOSPITAL CORP
Practice address
9714 Healthway Dr
Berlin, MD 21811-1154
Phone
(410) 641-3340
Fax
(410) 641-3341
NPI assigned
Mar 21, 2018
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC GENERAL HOSPITAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Cheryl Nottingham
Title
VP Finance/Cfo
Phone
(410) 641-9602

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Developmental Disabilities Clinic/Center 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

9714 Healthway Dr
Berlin, MD 21811-1154

Mailing address

10026 Old Ocean City Blvd
Building #1
Berlin, MD 21811-1288
Phone (410) 641-9450

National Provider Directory

National Provider Directory
Tax ID family
Atlantic General Hospital35 organizations share this tax ID, including this one
Part of
Atlantic General Hospital

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1043714306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD",
            "address_2": "BUILDING #1",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111288",
            "telephone_number": "410-641-9450",
            "fax_number": "410-641-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 HEALTHWAY DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111154",
            "telephone_number": "410-641-3340",
            "fax_number": "410-641-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GENERAL HOSPITAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC GENERAL HOSPITAL CORP",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "410-641-9602"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.