OrganizationActive
Psl Atca LLC
NPI 1053127357 · Internal Medicine Physician · Port St. Lucie, FL
Provider details
- NPI number
- 1053127357
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Buckley, Ceo(404) 290-1029
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
266 Nw Peacock Blvd Ste 204
Port St. Lucie, FL 34986-2271
Phone: (404) 290-1029
Street-level locationGet directions
Mailing address
890 Riverhaven Dr
Suwanee, GA 30024-4238
Registry dates
- Enumerated
- 2024-12-10
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.