Atlantis Medical Clinic - Austin, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N7984 Issued in TX

Legal business name

ATLANTIS MEDICAL CLINIC - AUSTIN, P.A.

Doing business as

Medical-Dental

Practice address

2015 E Riverside Dr
BLDG 2, Unit D
Austin, TX 78741-1324

Phone

(512) 652-0044

NPI assigned

Mar 9, 2011

Last updated

Mar 9, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candice Addison

Title

Physician

Phone

(512) 652-0044

Specialties & licenses 1

Addresses

Other names 1

• Medical-Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1255639613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MCKINNEY AVE",
            "address_2": "SUITE 940",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011908",
            "telephone_number": "682-478-9117",
            "fax_number": "817-887-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E RIVERSIDE DR",
            "address_2": "BLDG 2, UNIT D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411324",
            "telephone_number": "512-652-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS MEDICAL CLINIC - AUSTIN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-652-0044"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical-Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anusha R Atmakuri, LPC-A
• Alexandra Marie Atnip, PA-C
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• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.