David Joseph Ahlberg, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200500147 Issued in NC

Practice address

39 Office Park Dr Ste a
Jacksonville, NC 28546-3220

Phone

(910) 939-0724

Fax

(910) 333-9145

NPI assigned

Jun 20, 2006

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Affiliated Medical Group PLLCGroup PAC ID 2860575610, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Medical Group, PLLC

  • Psychiatry Physician
  • Jacksonville, NC
  • NPI 1922280700

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Jacksonville Behavior and Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Jacksonville, NC
  • NPI 1770771750
  NPD
• Carolina Psychological and Psychiatric Health SRVS, PA

  dba Carolina Psychological Health Services

  • Psychologist
  • Jacksonville, NC
  • NPI 1770561193

  Psychiatry

  NPD (past)
• Family Care Clinic, P.a.

  • Clinic/Center
  • Jacksonville, NC
  • NPI 1316033590
  NPD (past)
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1679519706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12459",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462459",
            "telephone_number": "910-939-0724",
            "fax_number": "910-333-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OFFICE PARK DR STE A",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463220",
            "telephone_number": "910-939-0724",
            "fax_number": "910-333-9145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 N Kendall Dr Ste 807",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567697",
            "country_code": "US",
            "telephone_number": "910-939-0724",
            "fax_number": "910-333-9145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Town Square Blvd Ste 342",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288035024",
            "country_code": "US",
            "telephone_number": "910-939-0724",
            "fax_number": "910-333-9145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLBERG",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200500147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advocates for Consumer Empowerment Inc (Ace Inc)
• Advocates for Life Foundation
• Affiliated Medical Group, PLLC
• Richard Rodriguez Aguila, LMFTA
• Leslie Aguilar Campos
• Ahm, LLC (New Life 4 You)
• Shannon Aleen Aiken
• Mojeed Akintayo, M.D.
• Virginia R Albano, DPM
• Albemarle Hospital Foundation (UHS/DE Telepsychiatry)

• Psychiatry Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.