Proactive Management Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

212139205B Issued in GA

Legal business name

PROACTIVE MANAGEMENT CONSULTING, LLC

Practice address

1830 Water PL SE Ste 220
Atlanta, GA 30339-2292

Phone

(770) 319-7468

Fax

(678) 501-4943

NPI assigned

Nov 13, 2006

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Tonya Denise McMillian

Title

President

Phone

(770) 319-7468

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Proactive Management Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Proactive Management Consulting, LLC

  • Community/Behavioral Health Agency
  • Rome, GA
  • NPI 1376851584
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany A'Kia Rogers, PSYD

  • Psychologist
  • Decatur, GA
  • NPI 1053576199
  Medicare reassignment NPD
• Ramona Charles, LAPC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1922755412
  NPD (past)
• Cindy Lopez Galindo

  • Registered Nurse
  • Madison, GA
  • NPI 1629661913
  NPD (past)
• Benjamin Herrera, M.D.

  • Psychiatry Physician
  • Fort Gordon, GA
  • NPI 1407882673
  NPD (past)
• Brandelyn Nicole Scott, LPC

  • Mental Health Counselor
  • Lithonia, GA
  • NPI 1831700921
  NPD (past)
• Samuel Halstion, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1134223662
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1295806834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WATER PL SE STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392292",
            "telephone_number": "770-655-9757",
            "fax_number": "678-501-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WATER PL SE STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392292",
            "telephone_number": "770-319-7468",
            "fax_number": "678-501-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MANAGEMENT CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-319-7468",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "212139205B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212139205B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles Daniel Procter Jr., MD
• Kaitlin Baker Proctor, PHD

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.