P Praxis·MD
● Active Type 2 · Organization

Progressive Community Healthcare

Family Medicine·Atlanta, GA· NPI 1407877764 · Enumerated 2006 · 19 years on NPI
Progressive Community Healthcare is 1 of 108 family medicine organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-22
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tyson
Clinical Office Coordinator
Last NPPES update
2011-12-13
Source: monthly bulk 2026-05

How this organization compares

Across 108 active family medicine providers in Georgia.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 25% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
494 Boulevard Se
Atlanta, GA 303123426
📞 4046071002fax 4046071031
Mailing address
Po Box 54723
Atlanta, GA 30308
📞 4046071002fax 4046071031

Authorized official

Quatoya R Tyson
Clinical Office Coordinator
📞 4046071002

Specialties

  • Family Medicine Primary
    The NUCC recommends this code not be used. Choose a more appropriate code.
    taxonomy 207QA0505X
  • Clinic/Center
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    taxonomy 261Q00000X

Identifiers

TypeValueNotes
05 (GA) 229783620B

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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