Act Medical Group PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

87550 Issued in NC

Legal business name

ACT MEDICAL GROUP PA

Practice address

311-4E Judges Rd
Wilmington, NC 28405-3655

Phone

(910) 791-6767

Fax

(910) 791-6890

NPI assigned

Jan 12, 2006

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erinn M Beekman

Title

President

Phone

(910) 791-6767

Specialties & licenses 2

Addresses

Other identifiers 7

Locations (25 of 41)

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Allmond, PSYD

  • Clinical Psychologist
  • Kannapolis, NC
  • NPI 1073884516
  NPD (past)
• Cornelius Scott Ashley, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1447435649
  NPD (past)
• Danielle Atkinson, PSY.D.

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1669788907
  NPD (past)
• Shahla Bagheri, M.D.

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1164509295

  Specialist

  NPD (past)
• Debra Lee Bateman, FNPC

  • Family Nurse Practitioner
  • Carthage, NC
  • NPI 1093981706
  NPD (past)
• Timothy Beittel, MD

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1669464111
  NPD (past)
• Deborah M. Bullard, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1801985205
  NPD (past)
• Ronald Capleton, PSY.D, MS, HSP, NCC

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1093823973
  NPD (past)
• Vickie Adams Casey, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1548428907
  NPD (past)
• Mark C Chandler, MD

  • Psychiatry Physician
  • Durham, NC
  • NPI 1265452270
  NPD (past)
• Sonya Jean Ciancutti, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1871802595
  NPD (past)
• Carolyn Ann Clark, LPC, NCC, NCSC

  • Case Management Agency
  • Albemarle, NC
  • NPI 1730367954
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1245219799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311-4E JUDGES RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053655",
            "telephone_number": "910-791-6767",
            "fax_number": "910-791-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "BEEKMAN",
        "authorized_official_first_name": "ERINN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-791-6767"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "87550",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PRIMARY CARE ONLY",
            "identifier": "016UG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890706G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005401",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3714",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "E698",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC MENTAL HEALTH ONLY",
            "identifier": "0706G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIEDMONT BEHAVIORAL HEALT",
            "identifier": "20992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Achievements Pediatric Speech-Language Services, Inc.
• Gabrielle Acker
• Paula Jean Ackermann, LCSWA
• Elizabeth Acquista, MD
• Act Medical
• Act Medical Group, PA
• Acts Community Services Inc
• Acubuff, Inc
• Celine Adair, M.F.T
• Alyssa Adamkowski, PT, DPT

• Specialist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.