Century Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12301 Issued in AZ

Legal business name

CENTURY CARE INC

Doing business as

Atlas Medical
Atlas Medical Arizona

Practice address

7227 E Baseline Rd Ste 126
Mesa, AZ 85209-5006

Phone

(480) 868-9650

Fax

(480) 834-3606

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Gregory Chad Mangum

Title

Owner

Phone

(435) 514-5646

Specialties & licenses 6

Addresses

Other names 2

• Atlas Medical Doing business as
• Atlas Medical Arizona Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 65

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.

• Christian Andreen, PA-C

  • Medical Physician Assistant
  • Mesa, AZ
  • NPI 1275052664
  Medicare reassignment Care Compare group NPD
• Ashley Archer, NP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1609350271
  Medicare reassignment Care Compare group NPD
• Audrey Marie Bressor, NP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1942347554
  Medicare reassignment Care Compare group NPD
• Brittany Campos, MSN, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1861132235
  Medicare reassignment Care Compare group NPD
• Jeffrey M Christensen, MSPT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1245098961
  Medicare reassignment Care Compare group NPD
• Mary Clifford, ANP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1467615872
  Medicare reassignment Care Compare group NPD
• Sue Freeman, N.P.

  • Gerontology Nurse Practitioner
  • Sun City West, AZ
  • NPI 1841353208
  Medicare reassignment Care Compare group NPD
• Charlotte A Galindo

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1831380898
  Medicare reassignment Care Compare group NPD
• Sandra R Garner, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1134761240
  Medicare reassignment Care Compare group NPD
• Cathryn Griepentrog

  • Gerontology Nurse Practitioner
  • Mesa, AZ
  • NPI 1104402114

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD
• Charlote Holcomb, APRN

  • Family Nurse Practitioner
  • Avondale, AZ
  • NPI 1538835699
  Medicare reassignment Care Compare group NPD
• Theresa A Jacobsen, NP

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1689667883
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1346499324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095006",
            "telephone_number": "480-868-9650",
            "fax_number": "480-834-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095006",
            "telephone_number": "480-868-9650",
            "fax_number": "480-834-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-514-5646"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "12301",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Medical Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.

Verify at the official NPI Registry.