Individual provider Active NPI

Jeff Davies Atkinson, NP

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1295231850
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8659617-4405 Issued in UT
Practice address
348 E 4500 S Ste 220
Salt Lake City, UT 84107-8524
Phone
(801) 577-7055
Fax
(888) 717-7578
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8659617-4405 UT Primary

Addresses

Primary practice location

348 E 4500 S Ste 220
Salt Lake City, UT 84107-8524

Mailing address

348 E 4500 S Ste 220
Salt Lake City, UT 84107-8524
Phone (801) 577-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706000441 UT Practitioner - Nurse Practitioner 2961758800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timpanogos Family Medicine, LLC CurrentSince Jun 7, 2018 Accepting new patients
Premier Family Medical - City Center CurrentSince Sep 6, 2019 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Sep 20, 2019 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Sep 20, 2019 Accepting new patients
Premier Family Medical CurrentSince Sep 6, 2019 Accepting new patients

Locations

226 N 1100 E
Ste A
American Fork, UT 84003
Phone (801) 763-3841

226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

275 W 200 N
Ste 204
Lindon, UT 84042
Phone (801) 769-2565

423 N Orem Blvd
Orem, UT 84057
Phone (801) 225-2555

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

1528 N Commerce Dr
Ste 204
Saratoga Springs, UT 84045

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1295231850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078524",
            "telephone_number": "801-577-7055",
            "fax_number": "888-717-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078524",
            "telephone_number": "801-577-7055",
            "fax_number": "888-717-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "JEFF",
        "middle_name": "DAVIES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8659617-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.