Atlas LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ATLAS LLC

Doing business as

Atlas PLLC

Practice address

2549 Yukon PL
Spearfish, SD 57783-8531

Phone

(605) 549-1212

Fax

(605) 549-1313

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tomiko McGheeNPI 1740658384

Title

Credentialing Specialist

Phone

(404) 493-2632

Specialties & licenses 1

Addresses

Other names 1

• Atlas PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atlas PLLC

  • Optometrist
  • Rapid City, SD
  • NPI 1760951107

  O20211022001764

  Same enrollment

Practitioners 2

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.

• Tomiko Granada McGhee

  • Contractor
  • Decatur, GA
  • NPI 1740658384
  Authorized official Same address or phone
• Antwan Percy Randolph, O.D.

  • Optometrist
  • Spearfish, SD
  • NPI 1568798841
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1821769027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 YUKON PL",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577838531",
            "telephone_number": "605-549-1212",
            "fax_number": "605-549-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 YUKON PL",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577838531",
            "telephone_number": "605-549-1212",
            "fax_number": "605-549-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "TOMIKO",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "404-493-2632"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darbi Lee Anderson, CNP
• Teresa Lynne Anderson, M.ED.; LPC
• Wayne Julius Anderson, MD
• Allison Marie Angelbeck, ATC
• Martyann Apa, MA AUD
• Atlas Therapy LLC
• Charles K Austin, CRNA
• Dorothea Bader, PTA
• Wesley Reid Badger, M.D.
• Lee Burton Bailey, MD

• Optometrist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.