NPI 1922280700 · live from the CMS NPI Registry
Affiliated Medical Group, PLLC
Psychiatry & Neurology, Psychiatry in Jacksonville, NC. National Provider Identifier 1922280700, active.
NPI record
| NPI | 1922280700 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 39 Office Park Dr Ste A, Jacksonville, NC 28546 |
| Practice phone | 910-939-0724 |
| Mailing address | Po Box 12459, Jacksonville, NC 28546 |
| Enumerated | December 3, 2007 |
| Last updated | April 27, 2026 |
| Authorized official | David Ahlberg, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.