NPI age
5 years
Enumerated 2020-12-09
● Active Type 2 · Organization
Progressive Medical Clinic Llc
Progressive Medical Clinic Llc is 1 of 108 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mitchell
Owner
Last NPPES update
2021-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 108 active family medicine providers in Georgia.
NPI age
5 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 25% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2098 Teron Trce Ste 300
Dacula, GA 300191667
Mailing address
2098 Teron Trce Ste 300
Dacula, GA 300191667
Authorized official
Benjamin Mitchell
Owner
📞 7706144060
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Debbie Durand Counselor NPI 1801422746
- Kimberly Farr, NP Nurse Practitioner NPI 1154865814
- Lanny Lightfoot, M.S. Specialist/Technologist NPI 1053596833
Specialties
-
Family Medicine PrimaryThe NUCC recommends this code not be used. Choose a more appropriate code.
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-provider organization. 3 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.