Atlas Medical Group, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

7239 Issued in TN

Legal business name

ATLAS MEDICAL GROUP, LLC

Practice address

210 N Liberty St
Jackson, TN 38301-6222

Phone

(731) 736-4196

Fax

(731) 736-4195

NPI assigned

May 2, 2017

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Genexis Health Doing business as

Locations

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"
        }
    ]
}

• Jenny Atkins, LPN
• Keith Lantrip Atkins, M.D.
• Kimberly Atkins
• Robin Denise Atkinson, MD
• Atlas Emergency Physicians, PLLC
• Ashley Elizabeth Attaway, PA
• Emma Ault
• Morganne Brittany Austin-Dotson, LMSW
• Natasha Y Austin, FNP
• Pamela J Austin, CRNA

• All providers in Jackson, TN
• Primary Care Nurse Practitioner in Tennessee

• 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.

Verify at the official NPI Registry.