Atlas Medical Utah LLC
NPI 1568928133ActiveOrganization· Internal Medicine· Logan, UT
Internal Medicine in Logan, Utah, registered in NPPES in February 2019. The authorized official on file is Gregory Chad Mangum, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1568928133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2019 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Internal Medicine providers in Logan
- 1437517810
- 1982246047
- 1669500955
- 1912023300
- 1720049133
- 1427268366
- 1104093996
- 1881678399
- 1760492219
- 1649267949
- 1033129523
- 1063152080