NPI age
4 years
Enumerated 2021-11-10
● Active Type 2 · Organization
Proactive MD Ga, Llc
Proactive MD Ga, Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hopkins
Assoc. Ops Mgr
Last NPPES update
2021-11-10
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
4 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1600 N Brown Rd
Lawrenceville, GA 300438141
Mailing address
124 Allawood Ct
Simpsonville, SC 296816207
Authorized official
Jan Hopkins
Assoc. Ops Mgr
📞 8645010751
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Eda Kim, M.D. Family Medicine NPI 1013306752
- Dale Knutson Pediatrics NPI 1801185533
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Proactive MD Mission to the World Health Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.