ATLAS MEDICAL GROUP LLC NPI 1306372925

NPI Information

NPI: 1306372925
Provider Name: ATLAS MEDICAL GROUP, LLC

Doing Business As: GENEXIS HEALTH

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
210 N LIBERTY ST
JACKSON, TN
ZIP 38301
Phone: (731) 736-4196
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ATLAS MEDICAL GROUP, LLC is a primary care nurse practitioner in Jackson, TN. ATLAS MEDICAL GROUP, LLC NPI is 1306372925. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Genexis Health.

The provider's business location address is:

210 N LIBERTY ST
JACKSON, TN
ZIP 38301-222
Phone: (731) 736-4196
Fax: (731) 736-4195

The provider's authorized official is Jeffrey W Young .
The authorized official title is Practioner and has the following contact phone number (731) 736-4196.

The enumeration date for this NPI number is 5/2/2017 and was last updated on 8/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	7239	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q09565	MEDICARE UPIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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