Atlas Management Care

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

302R00000X Issued in NC

Legal business name

ATLAS MANAGEMENT CARE

Practice address

2315 Central Ave
Charlotte, NC 28205-5207

Phone

(704) 375-3966

Fax

(704) 375-3964

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Mekus E Mbanuzi

Title

Co-Owner

Phone

(704) 375-3966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1730345687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055207",
            "telephone_number": "704-375-3966",
            "fax_number": "704-375-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055207",
            "telephone_number": "704-375-3966",
            "fax_number": "704-375-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS MANAGEMENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "MBANUZI",
        "authorized_official_first_name": "MEKUS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-375-3966"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanah Antoinette Atkinson, CRNA
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• Atlas Medical Supply and Equipment
• Atlas Psychological PC
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• Jennifer Lynn Atlas, MD
• Walter Gerard Atlas, MD

• Health Maintenance Organization in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.