Proactive Medical Alliance

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROACTIVE MEDICAL ALLIANCE

Practice address

3769 Tom John LN
Tallahassee, FL 32309-6747

Phone

(850) 893-2245

Fax

(888) 843-1909

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charlie Hoy

Title

President

Phone

(850) 893-2245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1770764045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 KERRY FOREST PKWY",
            "address_2": "D4-02",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096892",
            "telephone_number": "850-893-2245",
            "fax_number": "888-843-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 TOM JOHN LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096747",
            "telephone_number": "850-893-2245",
            "fax_number": "888-843-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE MEDICAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "HOY",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-893-2245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanna Renee Prisco
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• Nikki Jeanne Pritchett, PH.D.
• Taylor Pritchett
• Tiffany J Pritchett
• Amber Proctor, LCSW
• Betty J Proctor, MSW, ILCSW
• Briley Elizabeth Proctor, PHD
• Diana Marie Proctor, MSW
• Professional Park Pediatrics P.a.

• Case Management Agency in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.