Professional Medical Services Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PROFESSIONAL MEDICAL SERVICES INC.

Practice address

2710 Turning Leaf Dr
Lawrenceville, GA 30044-7437

Phone

(770) 638-0084

NPI assigned

Jun 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Surendar Agarwal

Title

Vice President (Services)

Phone

(404) 610-5751

Specialties & licenses 1

Addresses

Other names 1

• PMS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1003476532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 TURNING LEAF DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447437",
            "telephone_number": "770-638-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 TURNING LEAF DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447437",
            "telephone_number": "770-638-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "SURENDAR",
        "authorized_official_title_or_position": "VICE PRESIDENT (SERVICES)",
        "authorized_official_telephone_number": "404-610-5751"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E Edward Proctor, MD
• Marilyn Proctor, MS ED
• Melanie Kim Proctor, LMSW
• Professional and Quality Homecare
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• Kimberly Christie Prohaska, M.ED. CCC-SLP
• Prohealth Integrated Medical
• Prohealth Spinal and Rehab Center
• Project3Sixty, Inc.

• Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.