Organization Active NPI

The Progress Place, Inc

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1912140484
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 31, 2021

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3419164MedicaidNC
003141957AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.