Healthcare Provider Details

I. General information

NPI: 1831803238
Provider Name (Legal Business Name): ATLANTIC TELEHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 GAY ST SUITE F
WASHINGTON VA
22747
US

IV. Provider business mailing address

257 GAY ST SUITE F
WASHINGTON VA
22747
US

V. Phone/Fax

Practice location:
  • Phone: 571-249-2493
  • Fax:
Mailing address:
  • Phone: 571-249-2493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW KOHLER
Title or Position: CEO
Credential: MD, MBA
Phone: 571-249-2493