Organization Active NPI

Progressive Medical Center, PC

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1649413238
Registry record updated Apr 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PROGRESSIVE MEDICAL CENTER, PC
Practice address
4646 N Shallowford Rd
#500
Atlanta, GA 30338-6308
Phone
(770) 676-6000
NPI assigned
Apr 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2009

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

Authorized official

Name
Dr. Frank Paul Matalone, D.O.
Title
Physician
Phone
(770) 676-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4646 N Shallowford Rd
#500
Atlanta, GA 30338-6308

Mailing address

4646 N Shallowford Rd
#500
Atlanta, GA 30338-6308
Phone (770) 676-6000

National Provider Directory

National Provider Directory

Locations

4646 N Shallowford Rd
#500
Atlanta, GA 30338
Phone (770) 676-6000

NPI Registry JSON

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

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239494400000",
    "number": "1649413238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N SHALLOWFORD RD",
            "address_2": "#500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386308",
            "telephone_number": "770-676-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N SHALLOWFORD RD",
            "address_2": "#500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386308",
            "telephone_number": "770-676-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-12",
        "last_updated": "2009-04-12",
        "status": "A",
        "authorized_official_last_name": "MATALONE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-676-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2009; 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.