Progressive DG, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROGRESSIVE DG, LLC

Practice address

2485 Park Central Blvd Ste 3
Decatur, GA 30035-3903

Phone

(770) 593-4976

NPI assigned

Dec 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Aundrea Eady, DMDNPI 1124315965

Title

Owner

Phone

(305) 479-7602

Specialties & licenses 2

Addresses

Other names 1

• Progressive Dental Group Doing business as

Locations

Practitioners 2

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

• Aundrea Vereen Eady, DMD

  • Prosthodontics
  • Decatur, GA
  • NPI 1124315965
  NPD Authorized official
• Aaliyah Imani McPherson

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1154163137
  NPD (past)

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1225798929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 PARK CENTRAL BLVD STE 3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 PARK CENTRAL BLVD STE 3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353903",
            "telephone_number": "770-593-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "EADY",
        "authorized_official_first_name": "AUNDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-479-7602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Harold Printup, L.P.C
• Priority Health, LLC
• Professional Healthcare Corporation
• Professional Medical Institute Inc Dba Professional Medical Home Care
• Progress Village Pediatric Therapy Services
• Progressive Pain Centers
• Promise Health Medical Institute
• Kenneth Steven Protas, M.D.
• Elizabeth Faye Pruitt-Wise, RD
• Katheryn Alexis Pruitt, PHARM.D., BCPS

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Dentistry in Georgia

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