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PROACTIVE PHYSICIANS OF MARIETTA, PC
NPI 1003356361
Clinic/Center - Primary Care in Marietta, GA

Active since March 06, 2017CLIA 11D2131205 · Microscopy
790 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060(678) 753-9300(678) 753-9300 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Proactive Physicians Of Marietta, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE PHYSICIANS OF MARIETTA, PC (NPI 1003356361) is a healthcare organization registered as a primary care in Marietta, Georgia and active in the NPI registry since March 2017. The organization holds a CLIA Microscopy certificate valid through May 23, 2027 and lists Richard Scott Mills, Coo, as its authorized official.

NPPES Registry Identity

NPI1003356361
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE PHYSICIANS OF MARIETTA, PC
Location Address790 CHURCH ST NE, SUITE 220Marietta, GA 30060-7282
Mailing Address790 Church St Ne, Suite 220Marietta, GA 30060-7282 · (678) 753-9300 · Fax (678) 753-9300
Phone(678) 753-9300
Fax(678) 753-9300
Organization SubpartNo
Authorized OfficialRichard Scott MillsCoo · (678) 794-2216
Enumeration DateMarch 6, 2017
✔ NPI 1003356361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
790 CHURCH ST NE, Marietta, GA 30060
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2131205

Proactive Physicians Of Marietta, PC · Marietta, GA
Active · expires May 23, 2027
CLIA Number11D2131205
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorR Scott Mills
Laboratory Phone(678) 753-9300
Laboratory LocationProactive Physicians Of Marietta, PC790 Church Street, Suite 220, Marietta, GA 30060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTO A. LARRIVEY MD
Otolaryngology
790 CHURCH ST NE, STE 140
MARIETTA, GA 30060
Cobb County (770) 425-7199
R SCOTT MILLS MD
Internal Medicine
790 CHURCH ST NE, SUITE 230
MARIETTA, GA 30060
Cobb County (678) 797-8201
RICHARD L GRIFFITH MD
Internal Medicine
790 CHURCH ST NE, SUITE 230
MARIETTA, GA 30060
Cobb County (678) 797-8201
ELISE PACITTI NP
Nurse Practitioner
790 CHURCH ST NE, SUITE 250
MARIETTA, GA 30060
Cobb County (678) 797-8201
DR. JOHN TUCKER MD
Surgery (Vascular Surgery)
790 CHURCH ST NE, SUITE 570
MARIETTA, GA 30060
Cobb County (770) 428-0462
MEENAKSHI HEMA KAKARALA MD
Internal Medicine
790 CHURCH ST NE, SUITE 250
MARIETTA, GA 30060
Cobb County (678) 797-8201
DR. ANDREY POPYKIN MD
Internal Medicine
790 CHURCH ST NE, SUITE 250
MARIETTA, GA 30060
Cobb County (678) 797-8201
WELLSTAR SURGICAL ASSOCIATES OF MARIETTA, LLC
Surgery
790 CHURCH ST NE, SUITE 570
MARIETTA, GA 30060
Cobb County (770) 428-0462

Frequently Asked Questions

What is PROACTIVE PHYSICIANS OF MARIETTA, PC's NPI number?

The NPI number assigned to this healthcare provider is 1003356361, enumerated as an "organization" on March 06, 2017.

Where is the provider located?

The provider is located at 790 CHURCH ST NE SUITE 220 MARIETTA, GA 30060 and the phone number is (678) 753-9300.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.