Organization Active NPI

Proactive Management Consulting, LLC

  • Community/Behavioral Health Agency
  • Rome, GA
National Provider Identifier
1376851584
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROACTIVE MANAGEMENT CONSULTING, LLC
Practice address
111 Bridgepoint PLZ
Suite 308
Rome, GA 30161-3084
Phone
(706) 232-3070
Fax
(866) 416-1767
NPI assigned
Sep 22, 2010
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Tonya McMillian
Title
Ceo/President
Phone
(770) 319-7468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

111 Bridgepoint PLZ
Suite 308
Rome, GA 30161-3084

Mailing address

2700 Cumberland Pkwy SE
Suite 120
Atlanta, GA 30339-3321
Phone (770) 319-7468

Other identifiers 1

IdentifierTypeStateIssuer
212139205CMedicaidGA

National Provider Directory

National Provider Directory
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.

Locations

111 Bridgepoint Plz
Ste 308
Rome, GA 30161
Phone (706) 232-3070

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1376851584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CUMBERLAND PKWY SE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393321",
            "telephone_number": "770-319-7468",
            "fax_number": "678-501-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BRIDGEPOINT PLZ",
            "address_2": "SUITE 308",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613084",
            "telephone_number": "706-232-3070",
            "fax_number": "866-416-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MANAGEMENT CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "770-319-7468"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212139205C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.