OrganizationActive
Atlas Medical Utah LLC
NPI 1568928133 · Internal Medicine Physician · Logan, UT
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
Established profile(71/100 index)
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
258 S Main St Ste 210
Logan, UT 84321-5768
Phone: (435) 383-6120
Fax: (435) 557-8003
Street-level locationGet directions
Mailing address
Po Box 86
Providence, UT 84332-0086
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.