Active NPI
Atlas Medical Group, LLC
Doing business as Genexis Health
- Primary Care Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 7239
- Legal business name
- ATLAS MEDICAL GROUP, LLC
- Doing business as
- Genexis Health
- Practice address
- 210 N Liberty St
Jackson, TN 38301-6222 - Phone
- (731) 736-4196
- Fax
- (731) 736-4195
- NPI assigned
- May 2, 2017
- Last updated
- Aug 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey W Young, MSN, APN,FNP-BC
- Title
- Practioner
- Phone
- (731) 736-4196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 7239 | TN | Primary |
Addresses
Primary practice location
210 N Liberty St
Jackson, TN 38301-6222
Mailing address
210 N Liberty St
Jackson, TN 38301-6222
Phone (731) 736-4196
Other names 1
- Genexis Health
National Provider Directory
National Provider DirectoryLocations
210 N Liberty St
Jackson, TN 38301
Phone (731) 300-0044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1205879764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503100800000",
"number": "1306372925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N LIBERTY ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383016222",
"telephone_number": "731-736-4196",
"fax_number": "731-736-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N LIBERTY ST",
"city": "JACKSON",
"state": "TN",
"postal_code": "383016222",
"telephone_number": "731-736-4196",
"fax_number": "731-736-4195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-02",
"last_updated": "2017-08-19",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRACTIONER",
"authorized_official_telephone_number": "731-736-4196",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSN, APN,FNP-BC"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "7239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genexis Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.