Prosalud Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PROSALUD MEDICAL CENTER

Practice address

1870 Atlanta Rd
Ste J
Gainesville, GA 30504-5948

Phone

(770) 534-0690

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Arturo Ceron

Title

President

Phone

(770) 534-0690

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.

• Sundari Chetty

  • Family Nurse Practitioner
  • Gainesville, GA
  • NPI 1982009866
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1124478078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 ATLANTA RD",
            "address_2": "STE J",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045948",
            "telephone_number": "770-534-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 ATLANTA RD",
            "address_2": "STE J",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045948",
            "telephone_number": "770-534-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSALUD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "CERON",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-534-0690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisi April Probert, OT
• Professional Health Services, Inc.
• Professional Therapy Services, LLC
• Professional Therapy Services, LLC
• Professional Therapy Services, LLC
• Prosthetic Care, LLC
• Jordan Pruitt, PA
• Kristen Agnew Pruitt, M.S, PT
• Lisa Carol Pruitt, LPN
• Pruitthealth Home Health, Inc.

• Primary Care Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.