Organization Active NPI

Atlas Medical Group, PA

  • Family Medicine Physician
  • Monroe, NC
National Provider Identifier
1487959110
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLAS MEDICAL GROUP, PA
Practice address
701 E Roosevelt Blvd
Suite 320
Monroe, NC 28112-5170
Phone
(714) 396-7105
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Thomas Lorenzo Atlas, M.D.
Title
Owner
Phone
(714) 396-7105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

701 E Roosevelt Blvd
Suite 320
Monroe, NC 28112-5170

Mailing address

701 E Roosevelt Blvd
Suite 320
Monroe, NC 28112-5170
Phone (714) 396-7105

National Provider Directory

National Provider Directory

Locations

701 E Roosevelt Blvd
Ste 320
Monroe, NC 28112
Phone (704) 283-7737

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.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1487959110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ROOSEVELT BLVD",
            "address_2": "SUITE 320",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125170",
            "telephone_number": "714-396-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROOSEVELT BLVD",
            "address_2": "SUITE 320",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125170",
            "telephone_number": "714-396-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-396-7105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.