NPIMap

Organization Active NPI

Atlantic General Hospital Corporation

  • Clinical Social Worker
  • Berlin, MD
National Provider Identifier
1306408612
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ATLANTIC GENERAL HOSPITAL CORPORATION
Practice address
9714 Healthway Dr
Berlin, MD 21811-1154
Phone
(410) 641-3340
Fax
(410) 641-3341
NPI assigned
Jul 8, 2019
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X NU
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Developmental Disabilities Clinic/Center 261QD1600X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Pain Clinic/Center 261QP3300X NU

Addresses

Primary practice location

9714 Healthway Dr
Berlin, MD 21811-1154

Mailing address

10026 Old Ocean City Blvd, BLDG 1
Aghs Physician Billing Office
Berlin, MD 21811
Phone (410) 629-6007

Other practice location 1

12308 Ocean Gateway, Ste 3
Atlantic General Pediatrics
Ocean City, MD 21842-9341
Phone (443) 728-1004

Other practice location 2

11107 Racetrack Road
Atlantic General Primary Care and Endocrinology
Berlin, MD 21811-3279
Phone (410) 208-9761

Other practice location 3

15 N Williams Street
Atlantic General Primary Care
Selbyville, DE 19975-7514
Phone (302) 436-8004

Other practice location 4

37464 Lion Drive, Ste 2
Atlantic General Primary and Specialty Care
Selbyville, DE 19975-3879
Phone (302) 564-0004

Other practice location 5

500 Market Street Exchange, Ste 101
Atlantic General Primary and Specialty Care
Pocomoke, MD 21851-1170
Phone (410) 957-6622

Other practice location 6

96 Atlantic Ave, Ste 101
Atlantic General Primary Care
Ocean View, DE 19970-9103
Phone (302) 541-4460

Other practice location 7

12308 Ocean Gateway, Ste 1
Atlantic General Primary Care and Pediatrics
Ocean City, MD 21842-9341
Phone (410) 390-3341

Other practice location 8

10344 Old Ocean City Blvd, Ste B
Atlantic General Primary and Specialty Care
Berlin, MD 21811-1162
Phone (410) 641-0460

Other practice location 9

1001 Philadelphia Avenue
Townsend Medical Center
Berlin, MD 21842-3735
Phone (410) 289-6241

Other practice location 10

9714 Healthway Drive
AGHS Behavioral
Berlin, MD 21811-1154
Phone (410) 641-3340

Other identifiers 1

IdentifierTypeStateIssuer
514300400MedicaidMD

Other names 1

  • AGHS Behavorial Other name

National Provider Directory

National Provider Directory
Tax ID family
Atlantic General Hospital Corporation35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

96 Atlantic Ave
Ste 101
Ocean View, DE 19970
Phone (302) 541-4460

10344 Old Ocean City Blvd
Ste B
Berlin, MD 21811
Phone (410) 641-0460

500 Market St
Ste 101
Pocomoke City, MD 21851
Phone (410) 957-1311

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1306408612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 OLD OCEAN CITY BLVD, BLDG 1",
            "address_2": "AGHS PHYSICIAN BILLING OFFICE",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-629-6007"
        },
        {
            "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": [
        {
            "address_1": "12308 Ocean Gateway, Ste 3",
            "address_2": "Atlantic General Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "MD",
            "postal_code": "218429341",
            "country_code": "US",
            "telephone_number": "443-728-1004",
            "fax_number": "443-728-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11107 Racetrack Road",
            "address_2": "Atlantic General Primary Care and Endocrinology",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113279",
            "country_code": "US",
            "telephone_number": "410-208-9761",
            "fax_number": "410-208-9764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 N Williams Street",
            "address_2": "Atlantic General Primary Care",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "199757514",
            "country_code": "US",
            "telephone_number": "302-436-8004",
            "fax_number": "302-436-9769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37464 Lion Drive, Ste 2",
            "address_2": "Atlantic General Primary and Specialty Care",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "199753879",
            "country_code": "US",
            "telephone_number": "302-564-0004",
            "fax_number": "302-564-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Market Street Exchange, Ste 101",
            "address_2": "Atlantic General Primary and Specialty Care",
            "address_purpose": "LOCATION",
            "city": "Pocomoke",
            "state": "MD",
            "postal_code": "218511170",
            "country_code": "US",
            "telephone_number": "410-957-6622",
            "fax_number": "410-957-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Atlantic Ave, Ste 101",
            "address_2": "Atlantic General Primary Care",
            "address_purpose": "LOCATION",
            "city": "Ocean View",
            "state": "DE",
            "postal_code": "199709103",
            "country_code": "US",
            "telephone_number": "302-541-4460",
            "fax_number": "302-541-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12308 Ocean Gateway, Ste 1",
            "address_2": "Atlantic General Primary Care and Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "MD",
            "postal_code": "218429341",
            "country_code": "US",
            "telephone_number": "410-390-3341",
            "fax_number": "410-390-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10344 Old Ocean City Blvd, Ste B",
            "address_2": "Atlantic General Primary and Specialty Care",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111162",
            "country_code": "US",
            "telephone_number": "410-641-0460",
            "fax_number": "410-641-3871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Philadelphia Avenue",
            "address_2": "Townsend Medical Center",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218423735",
            "country_code": "US",
            "telephone_number": "410-289-6241",
            "fax_number": "410-289-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9714 Healthway Drive",
            "address_2": "AGHS Behavioral",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111154",
            "country_code": "US",
            "telephone_number": "410-641-3340",
            "fax_number": "410-641-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC GENERAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "410-641-9602"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514300400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGHS Behavorial",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AGHS Behavorial",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 13, 2022; 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.