Proactive Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PROACTIVE MEDICAL CENTER LLC

Practice address

3455 Peachtree Industrial Blvd Ste 910
Duluth, GA 30096-6502

Phone

(678) 584-5000

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Andrew HyunNPI 1699926923

Title

Employee

Phone

(770) 367-3325

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Eunsuk Hyun, D.C.

  • Chiropractor
  • Suwanee, GA
  • NPI 1699926923
  NPD Authorized official
• Vanessa Lindo, PA-C

  • Physician Assistant
  • Redding, CA
  • NPI 1003377433

  Single Specialty

  NPD

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1053946004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE INDUSTRIAL BLVD STE 910",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE INDUSTRIAL BLVD STE 910",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966502",
            "telephone_number": "678-584-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "770-367-3325"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prima Ambulatory Surgical Services
• Prima Center for Plastic Surgery PC
• Primary Care of Atlanta
• Primecare Medical Supply Inc
• Priority Primary Care
• Proactive Medical Clinic Corp
• Procare Ultrasound
• Erica N Proctor, M.D.
• Profound Wellness
• Provider Partners, LLC Dba Your Virtual Clincial

• General Practice Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.