Atlantic General Hospital Corporation
NPI 1043038730ActiveOrganization· Nurse Practitioner· Berlin, MD
Nurse Practitioner in Berlin, Maryland, registered in NPPES in October 2024, part of Atlantic General Hospital Corporation. The authorized official on file is Stephanie Gary, Svp, Finance/Cfo Of Tidalhealth.
Overview
| NPI | 1043038730 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Atlantic General Hospital Corporation |
| NPI issued | Oct 1, 2024 |
| Last updated in NPPES | May 30, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner providers in Berlin
- 1700795135
- 1447339957
- 1760410989
- 1407685829
- 1366163172
- 1801595848
- 1396508990