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

NPI Status: Active since February 19, 2019

Contact Information

258 S MAIN ST STE 210
LOGAN, UT
ZIP 84321
Phone: (435) 383-6120
Fax: (435) 557-8003

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 46D2303188
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-21-2028

About ATLAS MEDICAL UTAH LLC

This page provides the complete NPI Profile along with additional information for Atlas Medical Utah Llc, an internist established in Logan, Utah operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1568928133 assigned on February 2019. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Atlas Medical Utah Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Gregory Chad Mangum (Owner)

NPI
1568928133
Provider Legal Name
ATLAS MEDICAL UTAH LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
258 S MAIN ST STE 210 LOGAN, UT 84321
Location Phone
(435) 383-6120
Location Fax
(435) 557-8003
Mailing Address
PO BOX 86 PROVIDENCE, UT 84332
Mailing Phone
(435) 383-6120
Mailing Fax
(435) 557-8003
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2019
Last Update Date
09-26-2025
Code Navigator

An internist like Atlas Medical Utah Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 30 N State St
    Preston, ID 83263
    (435) 383-6120

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO
  • U Health Plus Bronze - EPO
  • U Health Plus Expanded Bronze Standard - EPO
  • U Health Plus Gold - EPO
  • U Health Plus Gold Standard - EPO
  • U Health Plus Silver - EPO
  • U Health Plus Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY CHAD MANGUM

Authorized Official Title
OWNER
Authorized Official Phone
(435) 383-6120

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2303188
Facility Type
Practitioner Other
Certificate Effective Date
April 22, 2026
Certificate Expiration Date
April 21, 2028
Laboratory Director
MELISSA FESER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Atlas Medical Utah Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ATLAS MEDICAL UTAH LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568928133, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 8 + 2 + 1 + 6 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1568928133.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
General Practice
258 S MAIN ST STE 210
LOGAN, UT 84321
Clinic/Center
258 S MAIN ST STE 210
LOGAN, UT 84321
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Home Health
258 S MAIN ST STE 210
LOGAN, UT 84321
Hospice Care, Community Based
258 S MAIN ST STE 210
LOGAN, UT 84321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568928133, enumerated as an "organization" on February 19, 2019.

The provider is located at 258 S MAIN ST STE 210 LOGAN, UT 84321 and the phone number is (435) 383-6120.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.