NPIMap

Organization Active NPI

Atlas Health, PLLC

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1962845503
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLAS HEALTH, PLLC
Practice address
14 N McLean Blvd
Memphis, TN 38104-2645
Phone
(901) 509-2738
Fax
(901) 509-2740
NPI assigned
Apr 13, 2013
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Mr. Rob Booth
Title
PA-C
Phone
(901) 509-2738

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

14 N McLean Blvd
Memphis, TN 38104-2645

Mailing address

14 N McLean Blvd
Memphis, TN 38104-2645
Phone (901) 509-2738

Other names 1

  • Atlas Men's Health, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1365811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1962845503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MCLEAN BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042645",
            "telephone_number": "901-509-2738",
            "fax_number": "901-509-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MCLEAN BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042645",
            "telephone_number": "901-509-2738",
            "fax_number": "901-509-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-13",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "901-509-2738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Men's Health, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.