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ATLANTIS MEDICAL GROUP AZ PLLC
NPI 1740610039
Anesthesiology - Pain Medicine in Phoenix, AZ

Active since November 22, 2013
11047 N 19TH AVE, PHOENIX, AZ 85029(602) 589-0500(602) 314-4552 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Nov 15, 2017 (2 updates tracked since 2017).

About Atlantis Medical Group Az Pllc NPPES

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

ATLANTIS MEDICAL GROUP AZ PLLC (NPI 1740610039) is a healthcare organization registered as a pain medicine in Phoenix, Arizona and active in the NPI registry since November 2013. The organization lists Robert Preston Harper, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1740610039
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameATLANTIS MEDICAL GROUP AZ PLLC
Location Address11047 N 19TH AVEPhoenix, AZ 85029-4816
Mailing Address11047 N 19th AvePhoenix, AZ 85029-4816 · (602) 802-8636 · Fax (602) 314-4552
Phone(602) 589-0500
Fax(602) 314-4552
Organization SubpartNo
Authorized OfficialRobert Preston HarperCredentialing Specialist · (505) 553-8466
Enumeration DateNovember 22, 2013
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1740610039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
11047 N 19TH AVE, Phoenix, AZ 85029
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantis Medical Group Az Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Atlantis Medical Group Az PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

David Towns, MD
Anesthesiology
NPI 1326116278
11047 N 19TH AVE
Phoenix, AZ 85029
(602) 589-0500
✔ PECOS✔ Accepts MedicareSame address
John Kycey, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952372328
2434 S PLAYA
Mesa, AZ 85202
(480) 730-6329
✔ Accepts Medicare19 mi
Alane Dykes, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649299298
203 S CANDY LN STE 6B
Cottonwood, AZ 86326
(602) 589-0500
✔ Accepts Medicare79 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 Atlantis Medical Group Az PLLC's NPI number?

The NPI number for Atlantis Medical Group Az PLLC is 1740610039. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Atlantis Medical Group Az PLLC located?

Atlantis Medical Group Az PLLC is located at 11047 N 19th Ave, Phoenix, AZ 85029. The listed phone number is (602) 589-0500.

What is Atlantis Medical Group Az PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Atlantis Medical Group Az PLLC enrolled in Medicare?

Yes. Atlantis Medical Group Az PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantis Medical Group Az PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Atlantis Medical Group Az PLLC, in Anesthesiology and Certified Registered Nurse Anesthetist (CRNA). 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlantis Medical Group Az PLLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.