Act Medical Group, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

87550 Issued in NC

Legal business name

ACT MEDICAL GROUP, PA

Practice address

23 Orange St
Asheville, NC 28801-2328

Phone

(828) 239-0156

NPI assigned

Sep 7, 2010

Last updated

Oct 18, 2010By 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 1

Addresses

Other identifiers 1

Tax ID family

Act Medical Group PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Act Medical

  • Primary Care Clinic/Center
  • Wilmington, NC
  • NPI 1033358213
  NPD tax ID
• Act Medical Group, PA

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1598982860
  NPD tax ID

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1699082032",
    "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": "284430696",
            "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": "23 ORANGE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012328",
            "telephone_number": "828-239-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-10-18",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omileye Achikeobi-Lewis, LPCA
• Mark Steven Ackerman Jr., LPCA
• Shelby R Ackerman, AUD, CCC-A
• Cynthia L Ackrill, M.D.
• Amparo Oviedo Acosta, REGISTERED NURSE
• Active Asheville Incorporated
• Active Care PLLC
• Acton Family Chiropractic
• Donald Ray Acton, DC
• Meghan A Acton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.