Atlas Medical Utah LLC
NPI 1568928133 · Internal Medicine Physician · Logan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atlas Medical Utah LLC is a Internal Medicine Physician organization in Logan, UT (NPI 1568928133).
Provider details
- NPI number
- 1568928133
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Mangum, Owner(435) 383-6120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Sentry Medical
Additional practice locations (1)
- 30 N State StPreston, ID 83263-1237Phone: (435) 383-6120Fax: (435) 557-8003
Registry dates
- Enumerated
- 2019-02-19
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Atlas Medical Utah LLC's NPI number?
- Atlas Medical Utah LLC's National Provider Identifier (NPI) is 1568928133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlas Medical Utah LLC?
- Atlas Medical Utah LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Atlas Medical Utah LLC located?
- Atlas Medical Utah LLC's practice location on file with NPPES is 258 S Main St Ste 210, Logan, UT 84321-5768.
- What is Atlas Medical Utah LLC's phone number?
- The practice phone number listed in the NPPES registry for Atlas Medical Utah LLC is (435) 383-6120.
- Does Atlas Medical Utah LLC accept Medicare?
- Atlas Medical Utah LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Atlas Medical Utah LLC?
- The authorized official listed on Atlas Medical Utah LLC's NPPES record is Gregory Mangum, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlas Medical Utah LLC's NPI active?
- Yes — Atlas Medical Utah LLC's NPI (1568928133) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.