| Atlantic Medical Group PC | |
|
4 Josh Court Jacksonville NC 28546-5253 | |
| (910) 577-3636 | |
| Not Available |
| Full Name | Atlantic Medical Group PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Josh Court, Jacksonville, North Carolina |
| Authorized Official Name and Position | Ikechukwu Eric Ibegbu (OWNER/PROVIDER) |
| Authorized Official Contact | 9105773636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Medical Group PC 4 Josh Court Jacksonville NC 28546-5253 Ph: (910) 577-3636 | Atlantic Medical Group PC 4 Josh Court Jacksonville NC 28546-5253 Ph: (910) 577-3636 |
| NPI Number | 1962728394 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/27/2026 |
| Certification Date | 04/27/2026 |
| Medicare PECOS PAC ID | 4789713108 |
|---|---|
| Medicare Enrollment ID | O20100524000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962728394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 200401229 (North Carolina) | Primary |
| Provider Name | William S Futch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548216757 PECOS PAC ID: 1052214525 Enrollment ID: I20040130000983 |
| Provider Name | Ronald C Deatley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164467718 PECOS PAC ID: 0941195531 Enrollment ID: I20040223000026 |
| Provider Name | Thomas F Dawson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811912884 PECOS PAC ID: 0446244404 Enrollment ID: I20040413000134 |
| Provider Name | Jacqueline B Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073624565 PECOS PAC ID: 3577523950 Enrollment ID: I20041012000503 |
| Provider Name | Ikechukwu E Ibegbu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639154248 PECOS PAC ID: 6002858099 Enrollment ID: I20050601000077 |
| Provider Name | Michael Lawrence Holloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427054089 PECOS PAC ID: 6507849627 Enrollment ID: I20050831000952 |
| Provider Name | Karen Diane Lehman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972658730 PECOS PAC ID: 8224052501 Enrollment ID: I20060125000810 |
| Provider Name | Kimberly S Wiest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194911412 PECOS PAC ID: 5294822979 Enrollment ID: I20071026000588 |
| Provider Name | Angela P Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477889442 PECOS PAC ID: 0648318675 Enrollment ID: I20091112000358 |
| Provider Name | Ryan a Holton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346574100 PECOS PAC ID: 7810031267 Enrollment ID: I20100223000365 |
| Provider Name | Neville W Forbes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699766006 PECOS PAC ID: 3870644578 Enrollment ID: I20100309000820 |
| Provider Name | Jamie H Richards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285957209 PECOS PAC ID: 0547395188 Enrollment ID: I20100320000282 |
| Provider Name | Mary Newcomb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487898821 PECOS PAC ID: 8729139415 Enrollment ID: I20120209000285 |
| Provider Name | Jeffrey W Ashby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396793519 PECOS PAC ID: 6507873635 Enrollment ID: I20120604000033 |
| Provider Name | James W Horvath |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568678530 PECOS PAC ID: 8123287067 Enrollment ID: I20120606000029 |
| Provider Name | Erika Melissa Blackwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932511037 PECOS PAC ID: 1052530706 Enrollment ID: I20140911002218 |
| Provider Name | Danielle Tamara Hoo Fatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083031546 PECOS PAC ID: 9739311218 Enrollment ID: I20200910000826 |
| Provider Name | Alberta Nortey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932721776 PECOS PAC ID: 1355759044 Enrollment ID: I20211019002031 |
| Provider Name | Mary-jane Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096032 PECOS PAC ID: 8123313871 Enrollment ID: I20211117000224 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20230419001224 |
| Provider Name | Rukayat Bojuwon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467818807 PECOS PAC ID: 5890173744 Enrollment ID: I20241028001706 |
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