ATLANTIC MEDICAL GROUP PC — NPI 1558630483 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in KINSTON, NC)

CMS-1500 Box 24J / 33a • NPI

1558630483

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QA1903X (CMS 49)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

2541 N.QUEEN ST, KINSTON, NC, 28501-3851

✓ 9-Digit EDI 837 ZIP+4 (28501-3851)

Practice Phone & Referral Fax

(252) 527-3636

Fax: (252) 523-7407

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1558630483 (ATLANTIC MEDICAL GROUP PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1558630483` (NPI-2 Organization / Facility)
Provider / Legal Name	ATLANTIC MEDICAL GROUP PC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QA1903X` (Clinic/Center, Ambulatory Surgical)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	2541 N.QUEEN ST, KINSTON, NC, 28501-3851
Practice Telephone / Fax	Tel: (252) 527-3636 \| Fax: (252) 523-7407
Administrative Mailing Address	2541 N.QUEEN ST, KINSTON, NC, 28501-3851
Enumeration & Last Sync	Enumerated: 2011-12-21 \| CMS Record Updated: 2026-04-27
Authorized Official	IKECHUKWU IBEGBU (Office Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2541 N.QUEEN ST, KINSTON, NC, 28501-3851

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Plain-English Taxonomy & CMS Crosswalk (261QA1903X)

What Does Taxonomy Code 261QA1903X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA1903X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 49 (Ambulatory Surgical Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ATLANTIC MEDICAL GROUP PC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: NC \| License: `200401229` \| Primary: Secondary
`261QE0800X` — Clinic/Center, Endoscopy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QA1903X` — Clinic/Center, Ambulatory Surgical Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ATLANTIC MEDICAL GROUP PC (NPI #1558630483)