Pro- Holism Professional Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRO- HOLISM PROFESSIONAL CORPORATION

Practice address

2480 Windy Hill Rd SE
Suite 206
Marietta, GA 30067-8644

Phone

(770) 953-0074

NPI assigned

Oct 6, 2009

Organization subpart

Yes

Parent organization

ADMINISTRATIVE BUSINESS COUNCIL, '(ABC)' INC.As reported in NPPES

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

Authorized official

Name

Dr. Reda Coston, LMP, D.SC., PSYD/PHDNPI 1235464561

Title

Healthcare Administration Executive

Phone

(404) 800-5550

Specialties & licenses 8

Addresses

Other names 1

• Primary Medical Healthcare Practice Doing business as

Practitioners 1

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

• Reda Coston, LMP, D.SC, PSYD/PH.D

  • Public Health & General Preventive Medicine Physician
  • Marietta, GA
  • NPI 1235464561
  NPD Authorized official

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1124353339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 206",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678656",
            "telephone_number": "404-800-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE",
            "address_2": "SUITE 206",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678644",
            "telephone_number": "770-953-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO- HOLISM PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADMINISTRATIVE BUSINESS COUNCIL, '(ABC)' INC.",
        "enumeration_date": "2009-10-06",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "COSTON",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATION EXECUTIVE",
        "authorized_official_telephone_number": "404-800-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMP, D.SC., PSYD/PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Medical Healthcare Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy M Pritchett, HAD
• Private Home Assistance of Georgia, Inc.
• Pro Health and Rehab LLC
• Pro Healthcare of Marietta, LLC
• Pro Performance Therapy, LLC
• Proactive Physicians of Marietta, PC
• Melissa Joy Probst, APRN
• Procare Medical Group, LLC
• Marie-Therese N Proctor, PHARMD
• Professional Premium Services Inc

• Home Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.