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ATLAS MEDICAL ACO LLC
NPI 1396573705
Clinic/Center in Mesa, AZ

Active since July 25, 2024
7227 E BASELINE RD STE 126, MESA, AZ 85209(480) 219-4790 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atlas Medical Aco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLAS MEDICAL ACO LLC (NPI 1396573705) is a healthcare organization registered as a clinic/center in Mesa, Arizona and active in the NPI registry since July 2024. The organization lists Gregory Chad Mangum, Owner, as its authorized official.

NPPES Registry Identity

NPI1396573705
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameATLAS MEDICAL ACO LLC
Location Address7227 E BASELINE RD STE 126Mesa, AZ 85209-5006
Mailing AddressPo Box 4682Logan, UT 84323-4682
Phone(480) 219-4790
Organization SubpartYes
Authorized OfficialGregory Chad MangumOwner · (435) 514-5646
Enumeration DateJuly 25, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1396573705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7227 E BASELINE RD STE 126, Mesa, AZ 85209
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUSAN CAROL HARRIS FNP
Nurse Practitioner (Family)
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
CAMILLE E. COX F.N.P.
Nurse Practitioner (Family)
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
CENTURY CARE INC
Internal Medicine
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
BRITTANY LYNN CERASUOLO DPT
Physical Therapist
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
KAREN HUNT DPM
Podiatrist
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
DANIEL COUCH NP
Nurse Practitioner
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
KAMAKSHI K MUKKAVILLI MD
Internal Medicine
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650
MS. ASHLEY ARCHER NP-C
Nurse Practitioner (Family)
7227 E BASELINE RD STE 126
MESA, AZ 85209
Maricopa County (480) 868-9650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlas Medical Aco LLC's NPI number?

The NPI number for Atlas Medical Aco LLC is 1396573705. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Atlas Medical Aco LLC located?

Atlas Medical Aco LLC is located at 7227 E Baseline Rd Ste 126, Mesa, AZ 85209. The listed phone number is (480) 219-4790.

What is Atlas Medical Aco LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Atlas Medical Aco LLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.