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ATLANTIC INTERNAL MEDICINE PA
NPI 1982621546
Clinic/Center - Primary Care in Supply, NC

Active since July 17, 2006CLIA 34D0245990 · Waiver
16 MEDICAL CENTER DR, SUPPLY, NC 28462(910) 754-8921(910) 754-7140 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atlantic Internal Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC INTERNAL MEDICINE PA (NPI 1982621546) is a healthcare organization registered as a primary care in Supply, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard D. Crane, President, as its authorized official.

NPPES Registry Identity

NPI1982621546
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameATLANTIC INTERNAL MEDICINE PA
Location Address16 MEDICAL CENTER DRSupply, NC 28462-3350
Mailing Address16 Medical Center DrSupply, NC 28462-3350 · (910) 754-8921 · Fax (910) 754-7140
Phone(910) 754-8921
Fax(910) 754-7140
Organization SubpartNo
Authorized OfficialRichard D. CranePresident · (910) 754-8921
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 13, 2026
NPPES CertifiedMarch 13, 2026
✔ NPI 1982621546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
16 MEDICAL CENTER DR, Supply, NC 28462
Open in Google Maps ↗

Other Identifiers 2

Other013FENC · Bcbs
Medicaid79013FENC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0245990

Atlantic Internal Medicine PA · Supply, NC
Active · expires Aug 31, 2026
CLIA Number34D0245990
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRichard D. Crane
Laboratory Phone(910) 754-8921
Laboratory LocationAtlantic Internal Medicine PA16 Medical Center Drive, Supply, NC 28462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD DENTON CRANE M.D.
Internal Medicine
16 MEDICAL CENTER DR
SUPPLY, NC 28462
Brunswick County (910) 754-8921
SUSAN DENNIE GIBBLE PA
Physician Assistant (Medical)
16 MEDICAL CENTER DR
SUPPLY, NC 28462
Brunswick County (910) 754-8921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Internal Medicine PA's NPI number?

The NPI number for Atlantic Internal Medicine PA is 1982621546. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Atlantic Internal Medicine PA located?

Atlantic Internal Medicine PA is located at 16 Medical Center Dr, Supply, NC 28462. The listed phone number is (910) 754-8921.

What is Atlantic Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Atlantic Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0245990) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlantic Internal Medicine PA was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.