PROGRESSIVE CARE OF GWINNETT LLC (NPI# 1245792233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245792233 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE CARE OF GWINNETT LLC |
| Practice Address |
670 Indian Trail Lilburn Rd Nw Ste D Lilburn GA 30047-6888 |
| Practice Telephone | 7709250088 |
| Practice Fax Number | 7709253711 |
| Mailing Telephone | 7709250088 |
| Mailing Fax Number | 7709253711 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | DR. NEDA NORE (OWNER) |
| Authorized Official Telephone | 7709250088 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | UPTOM | 064758 | 01 |
| Other Name | Type Code |
|---|---|
| Progressive Healthcare of Gwinnett | Doing Business As Name - Organization |
| Street Address |
670 INDIAN TRAIL LILBURN RD NW STE D |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-6888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| 1679813018 | Jude Henry Valles | Chiropractor | 1054 Stone Mountain Hwy, Lilburn, GA 30049 | 2013-02-21 |
| 1629306808 | Family Wellness Chiropractic, LLC | Chiropractor | 1066 Killian Hill Rd Sw, Suite 103, Lilburn, GA 30047-2306 | 2009-11-25 |
| 1659564441 | Mdr, Inc. | Chiropractor | 1001 Oak Rd Sw, Lilburn, GA 30047-1891 | 2007-08-24 |
| 1215061155 | John Maltese | Chiropractor | 900 Indian Trail Lilburn Rd Nw Ste 9, Lilburn, GA 30047-6869 | 2007-03-15 |
| 1609907062 | John Joseph Klubenspies | Chiropractor | 937 Killian Hill Rd Sw, Lilburn, GA 30047-3137 | 2007-03-08 |
| 1871622670 | Dennis Lew Rattiner | Chiropractor | 670 Indian Trail Lilburn Rd Nw, Suite D, Lilburn, GA 30047-6837 | 2007-03-05 |
| 1417092628 | Kris E. Purvis | Chiropractor | 4051 Stone Mountain Hwy Ste F104, Lilburn, GA 30047-3364 | 2007-02-21 |
| 1174672109 | Nesemio Santiago | Chiropractor | 880 Indian Trail Lilburn Rd Nw, Lilburn, GA 30047-6844 | 2007-01-09 |
| 1467525253 | William John Cohl IIi | Chiropractor | 4652 Lawrenceville Hwy Nw, Suite 102, Lilburn, GA 30047-3621 | 2006-11-17 |
| Find all providers in LILBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.