Proactive Medical Training Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROACTIVE MEDICAL TRAINING CENTER INC

Practice address

3644 Chamblee Tucker Rd Ste F
Atlanta, GA 30341-4405

Phone

(770) 621-0001

NPI assigned

Oct 10, 2014

Last updated

Feb 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Johnathan Lee Steele

Title

President

Phone

(404) 438-9190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Steele

  • Community Health Worker
  • Atlanta, GA
  • NPI 1063887263
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1053715631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 CHAMBLEE TUCKER RD STE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414405",
            "telephone_number": "770-621-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 CHAMBLEE TUCKER RD STE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414405",
            "telephone_number": "770-621-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MEDICAL TRAINING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-438-9190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro-Health Services LLC
• Pro-Med of Atlanta, PC
• Pro-Medical Center LLC
• Pro-One Physical Therapy Services LLC
• Proactive Management Consulting, LLC
• Procare Pharmacy, LLC (CVS/Pharmacy #48637)
• Procrown Prosthetics
• Charles Daniel Procter Jr., MD
• Kaitlin Baker Proctor, PHD
• Keishaun Saschier Proctor, M.D.

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.