ATLANTIC GENERAL HOSPITAL CORPORATION – NPI #1063230605
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

ATLANTIC GENERAL HOSPITAL CORPORATION is a provider located in BERLIN, MD. NPPES has assigned the NPI number 1063230605 to ATLANTIC GENERAL HOSPITAL CORPORATION on October 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on May 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC GENERAL HOSPITAL CORPORATION below.

NPI Profile for
ATLANTIC GENERAL HOSPITAL CORPORATION

NPI Number
1063230605
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC GENERAL HOSPITAL CORPORATION
Primary location
10614 RACETRACK RD UNIT 1
BERLIN, MD 21811-3383
Phone: (443) 728-1004 Fax:
Mailing address
9733 HEALTHWAY DR
BERLIN, MD 21811-1156
Phone: (410) 641-1100 Fax:
Organization Subpart
Yes - ATLANTIC GENERAL HOSPITAL CORPORATION is subpart of another organization.
Authorized Official
STEPHANIE GARY
SVP, FINANCE/CFO OF TIDALHEALTH
Phone: (410) 912-6059
Updated
Certification Date
May 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
363L00000X
- Nurse Practitioner

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.