Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantis Medical Group Az PLLC

Organization Addiction Medicine (Anesthesiology) Physician · NPI 1740610039

Atlantis Medical Group Az PLLC is an Addiction Medicine (Anesthesiology) Physician in Phoenix, Arizona. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5501 N 19th Ave
Phoenix, AZ 85015-2450
Phone: (602) 589-0500
Fax: (602) 314-4552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Addiction Medicine (Anesthesiology) Physician Taxonomy 207LA0401X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Pain Medicine Physician Taxonomy 208VP0000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1740610039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Reneau — Practice Administrator · (602) 802-8636
NPI enumeratedNovember 22, 2013
Last updated in NPPESNovember 15, 2017
Mailing address5501 N 19th Ave Ste 103, Phoenix, AZ 85015-2451

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