Progressive Care of Gwinnett LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROGRESSIVE CARE OF GWINNETT LLC

Practice address

651 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-6838

Phone

(770) 925-0088

Fax

(770) 925-3711

NPI assigned

Apr 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Neda Nore, DCNPI 1265982144

Title

Owner

Phone

(770) 925-0088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Progressive Healthcare of Gwinnett Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Neda Nore, DC

  • Chiropractor
  • Lilburn, GA
  • NPI 1265982144
  Medicare reassignment NPD Authorized official
• Joel Edward Margolies, DC

  • Chiropractor
  • Tucker, GA
  • NPI 1255438834
  NPD (past)
• Dennis Lew Rattiner, D.C

  • Chiropractor
  • Lilburn, GA
  • NPI 1871622670
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1245792233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 INDIAN TRAIL LILBURN RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476838",
            "telephone_number": "770-925-0088",
            "fax_number": "770-925-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 INDIAN TRAIL LILBURN RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476838",
            "telephone_number": "770-925-0088",
            "fax_number": "770-925-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Lavista Rd",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300844403",
            "country_code": "US",
            "telephone_number": "770-491-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE CARE OF GWINNETT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "NORE",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-925-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPTOM",
            "identifier": "064758",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pcofgwinnett@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "670 Indian Trail Lilburn Rd NW Ste D",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300476888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Progressive Healthcare of Gwinnett",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progressive Healthcare of Gwinnett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premium Life Medical Center LLC
• Lucius Kenton Presley, DMD
• Proactive Collaboration LLC
• Professional Dental Alliance of Lilburn, LLC
• Professional Services for Families
• Progressive Healthcare of Gwinnett LLC
• Progressive Speech Therapy Services, L.L.C.
• Alfredia Pruitt
• Pruitthealth - Lilburn, LLC
• Robert Richard Pruni, DC

• Chiropractor in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.