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ATLAS MEDICAL UTAH LLC
NPI 1568928133
Internal Medicine in Logan, UT

Active since February 19, 2019
258 S MAIN ST STE 210, LOGAN, UT 84321(435) 383-6120(435) 557-8003 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, Mar 5, 2019, Feb 19, 2019 (3 updates tracked since 2019).

About Atlas Medical Utah Llc NPPES

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

ATLAS MEDICAL UTAH LLC (NPI 1568928133), doing business as Sentry Medical, is a healthcare organization registered as an internal medicine in Logan, Utah and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Preston and lists Gregory Chad Mangum, Owner, as its authorized official.

NPPES Registry Identity

NPI1568928133
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATLAS MEDICAL UTAH LLC
Location Address258 S MAIN ST STE 210Logan, UT 84321-5768
Mailing AddressPo Box 86Providence, UT 84332-0086 · (435) 383-6120 · Fax (435) 557-8003
Phone(435) 383-6120
Fax(435) 557-8003
Organization SubpartNo
Authorized OfficialGregory Chad MangumOwner · (435) 383-6120
Enumeration DateFebruary 19, 2019
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1568928133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
258 S MAIN ST STE 210, Logan, UT 84321
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Other Names 1

Doing Business AsSentry Medical

Secondary Practice Location 1

Location 130 N State StPreston, ID 83263-1237 · Phone (435) 383-6120 · Fax (435) 557-8003

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlas Medical Utah Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Atlas Medical Utah LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner3
Physical Therapist in Private Practice2
Emergency Medicine1
Family Practice1
Internal Medicine1
Optometry1
Urology1

Clinicians, nearest first (10)

Walker Riley
Physical Therapist in Private Practice
NPI 1669368742
258 S MAIN ST STE 210
Logan, UT 84321
(435) 383-6120
Same address
Clark Johnson
Physical Therapist in Private Practice
NPI 1407124910
258 S MAIN ST STE 210
Logan, UT 84321
(435) 383-6120
Same address
Ryan Larsen, MD
Urology
NPI 1235224932
258 S MAIN ST STE 210
Logan, UT 84321
(435) 383-6120
✔ PECOS✔ Accepts MedicareSame address
Jacob Sanderson, FNP-BC
Nurse Practitioner
NPI 1265094742
1400 N 500 E
Logan, UT 84341
(435) 716-2000
✔ PECOS✔ Accepts Medicare2.2 mi
Carla Smith
Nurse Practitioner
NPI 1588297360
2380 N 400 E STE B
Logan, UT 84341
(435) 881-0973
✔ PECOS✔ Accepts Medicare2.7 mi
Nathan Broschinsky, O.D.
Optometry
NPI 1467894998
136 E 800 S SUITE C
Smithfield, UT 84335
(435) 563-2020
✔ PECOS✔ Accepts Medicare6.5 mi
Miranda Buttars, APRN
Nurse Practitioner
NPI 1144913344
1010 S MEDICAL DR
Brigham City, UT 84302
(435) 310-5800
✔ PECOS✔ Accepts Medicare19 mi
Scott Nagao, DO
Family Practice
NPI 1205320991
1041 S MEDICAL DR STE 200
Brigham City, UT 84302
(435) 723-5248
✔ PECOS✔ Accepts Medicare19 mi
Brett Porter, MD
Internal Medicine
NPI 1134175037
1244 NO MAIN ST., STE 201
Tooele, UT 84074
(435) 882-3968
✔ PECOS✔ Accepts Medicare84 mi
Alexander Doxey, MD
Emergency Medicine
NPI 1295265528
1701 N SENATE BLVD
Indianapolis, IN 46202
(317) 962-3886
✔ PECOS✔ Accepts Medicare1,349 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Utah LLC's NPI number?

The NPI number for Atlas Medical Utah LLC is 1568928133. It was assigned to this organization in the NPPES registry on February 19, 2019. The provider is doing business as Sentry Medical.

Where is Atlas Medical Utah LLC located?

Atlas Medical Utah LLC is located at 258 S Main St Ste 210, Logan, UT 84321. The listed phone number is (435) 383-6120.

What is Atlas Medical Utah LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Atlas Medical Utah LLC enrolled in Medicare?

Yes. Atlas Medical Utah LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlas Medical Utah LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 7 Medicare specialties reassign their Medicare billing to Atlas Medical Utah LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Physical Therapist in Private Practice (2) and Emergency Medicine (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Atlas Medical Utah LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Atlas Medical Utah LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlas Medical Utah LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.