Active NPI
The Progress Place, Inc
- Community/Behavioral Health Agency
- Atlanta, GA
National Provider Identifier
1912140484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE PROGRESS PLACE, INC
- Practice address
- 2302 Parklake Dr NE Ste 415
Atlanta, GA 30345-2896 - Phone
- (678) 894-0288
- Fax
- (336) 791-2188
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonica Angel Logan
- Title
- Ceo
- Phone
- (678) 894-0288
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Ambulance | 341600000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
2302 Parklake Dr NE Ste 415
Atlanta, GA 30345-2896
Mailing address
2302 Parklake Dr NE Ste 415
Atlanta, GA 30345-2896
Phone (678) 894-0288
Other practice location 1
2216 W Meadowview Rd Ste 204
Greensboro, NC 27407-3401
Phone (336) 854-2655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3419164 | Medicaid | NC | |
| 003141957A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
2302 Parklake Dr NE
Ste 415
Atlanta, GA 30345
Phone (404) 480-4904
2216 W Meadowview Rd
Ste 204
Greensboro, NC 27407
Phone (336) 763-7762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Greensboro, NC
- NPI 1629405733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1912140484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 PARKLAKE DR NE STE 415",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452896",
"telephone_number": "678-894-0288",
"fax_number": "336-791-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 PARKLAKE DR NE STE 415",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452896",
"telephone_number": "678-894-0288",
"fax_number": "336-791-2188"
}
],
"practiceLocations": [
{
"address_1": "2216 W Meadowview Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274073401",
"country_code": "US",
"telephone_number": "336-854-2655",
"fax_number": "336-791-2188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE PROGRESS PLACE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "TONICA",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-894-0288"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3419164",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003141957A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.