NPIMap

Organization Active NPI

Atlantic Medical Group PC

  • Gastroenterology Physician
  • Jacksonville, NC
National Provider Identifier
1962728394
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200401229 Issued in NC
Legal business name
ATLANTIC MEDICAL GROUP PC
Practice address
4 Josh Court
Jacksonville, NC 28546-5253
Phone
(910) 577-3636
NPI assigned
Apr 9, 2010
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Ikechukwu Eric Ibegbu, M.D.NPI 1639154248
Title
Owner/Provider
Phone
(910) 577-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 200401229 NC Primary

Addresses

Primary practice location

4 Josh Court
Jacksonville, NC 28546-5253

Mailing address

4 Josh Court
Jacksonville, NC 28546-5253
Phone (910) 577-3636

Other practice location 1

332 S York St
Gastonia, NC 28052-4052
Phone (910) 577-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100524000662 NC Part B Supplier - Clinic/Group Practice 4789713108 Receives reassigned benefits from 21 practitioners
Practice locations: Gastonia, NC; Kinston, NC; Jacksonville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4 Josh Ct
Jacksonville, NC 28546
Phone (252) 527-3636

2541 N Queen St
Ofc
Kinston, NC 28501

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1962728394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JOSH COURT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-577-3636",
            "fax_number": "910-353-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JOSH COURT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-577-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 S York St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524052",
            "country_code": "US",
            "telephone_number": "910-577-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "IBEGBU",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "910-577-3636",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200401229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.