P Praxis·MD
● Active Type 1 · Individual

John David Prologo, M.D.

Radiology·Atlanta, GA· NPI 1558308379 · Enumerated 2006 · 19 years on NPI
Prologo is 1 of 54 radiology providers in Atlanta and 1 of 160 in Georgia.
NPI age
19 years
Enumerated 2006-06-01
Primary specialty
Radiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 160 active radiology providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
64% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
1364 Clifton Road Ne, Suite D111
Atlanta, GA 30322
📞 4047127033fax 4047127970
Mailing address
1364 Clifton Rd Ne, Suite Ag05
Atlanta, GA 30322
📞 4047127033fax 4047127970

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    GA license #72294 taxonomy 2085R0204X

Identifiers

TypeValueNotes
01 (OH) 000000230982 UNISON
01 (OH) 000000516404 ANTHEM
01 (OH) 389288 WELLCARE
01 (OH) 752765 BUCKEYE
05 (OH) 2691823
01 (OH) 9808106 AETNA
01 (OH) P00420609 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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