Active NPI
Atlas Infectious Disease Practice PLLC
- Infectious Disease Physician
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- ATLAS INFECTIOUS DISEASE PRACTICE PLLC
- Practice address
- 5401 S Congress Ave Ste 201
Atlantis, FL 33462-6637 - Phone
- (561) 995-6971
- Fax
- (561) 569-8309
- NPI assigned
- Sep 29, 2020
- 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
- Joseph Herve Etienne, MD
- Title
- President, Owner
- Phone
- (561) 995-6971
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
5401 S Congress Ave Ste 201
Atlantis, FL 33462-6637
Mailing address
5401 S Congress Ave Ste 201
Atlantis, FL 33462-6637
Phone (561) 995-6971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201013000249 | FL | Part B Supplier - Clinic/Group Practice | 0345660312 |
Receives reassigned benefits from 6 practitioners Practice locations: Atlantis, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2235774 | Atlas Infectious Disease Practice PLLC | Certificate of waiver | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 114
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1134145618
FL, Infectious Disease
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1336128206
FL, Infectious Disease
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1285600825
FL, Infectious Disease
-
- Infectious Disease Physician
- Lagrange, GA
- NPI 1942527478
FL
-
- Physician Assistant
- Westfield, MA
- NPI 1245041300
-
- Physician Assistant
- Long Island City, NY
- NPI 1003599804
-
- Dermatology Physician
- New York, NY
- NPI 1295379071
-
- Physician Assistant
- Brooklyn, NY
- NPI 1225367485
-
- Physician Assistant
- Brooklyn, NY
- NPI 1457145724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1326655846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 S CONGRESS AVE STE 201",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626637",
"telephone_number": "561-995-6971",
"fax_number": "561-569-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S CONGRESS AVE STE 201",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626637",
"telephone_number": "561-995-6971",
"fax_number": "561-569-8309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS INFECTIOUS DISEASE PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-29",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "ETIENNE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "HERVE",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "561-995-6971",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.