ATLAS MEDICAL GROUP, LLC (NPI# 1306372925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306372925 |
| Entity Type | Organization |
| Organization Name | ATLAS MEDICAL GROUP, LLC |
| Other Organization Name | GENEXIS HEALTH |
| Practice Address |
210 N Liberty St Jackson TN 38301-6222 |
| Practice Telephone | 7317364196 |
| Practice Fax Number | 7317364195 |
| Mailing Telephone | 7317364196 |
| Mailing Fax Number | 7317364195 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-08-19 |
| Authorized Official Name | MR. JEFFREY W YOUNG (PRACTIONER) |
| Authorized Official Telephone | 7317364196 |
| Authorized Official Credential | MSN, APN,FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
7239 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Genexis Health | Doing Business As Name - Organization |
| Street Address |
210 N LIBERTY ST |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-6222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205879764 | Jeffrey W Young | Nurse Practitioner | 210 N Liberty St, Jackson, TN 38301-6222 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952965543 | Sheila Kivali Olira | Nurse Practitioner | 5 Windsong Ct, Jackson, NJ 08527-4081 | 2019-04-29 |
| 1366805608 | Laurie Brown | Nurse Practitioner | 6805 Squaw Creek Rd, Jackson, WY 83001-8888 | 2016-04-04 |
| 1407244171 | Bethesda Health Services, LLC | Nurse Practitioner | 29 N Star Dr Ste D, Jackson, TN 38305-6657 | 2015-01-05 |
| 1245227313 | Susan C Martin | Nurse Practitioner | 1385 S Highland Ave Ste B1, Jackson, TN 38301-7547 | 2005-10-04 |
| 1437766011 | Shannon Rae Smith | Nurse Practitioner | 1102 E Michigan Ave, Jackson, MI 49201-1802 | 2020-09-28 |
| 1275189938 | April Terrain Perry | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213 | 2019-08-16 |
| 1801367073 | Careline Palliative Care LLC | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2018-12-16 |
| 1629578273 | Orlesha Carroll Bishop | Nurse Practitioner | 805 E River Pl, Jackson, MS 39202-3486 | 2018-02-20 |
| 1962901587 | Hannah Foreman Ivison | Nurse Practitioner | 2969 Curran Dr N # 200, Jackson, MS 39216 | 2018-02-09 |
| 1598274623 | Allison Leigh Princiotta | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-09-20 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.