PROACTIVE PHYSICIANS OF MARIETTA, PC
NPI 1003356361
Clinic/Center - Primary Care in Marietta, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Proactive Physicians Of Marietta, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Proactive Physicians Of Marietta, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Proactive Physicians Of Marietta, PC's NPI number?
The NPI number for Proactive Physicians Of Marietta, PC is 1003356361. It was assigned to this organization in the NPPES registry on March 6, 2017.
Where is Proactive Physicians Of Marietta, PC located?
Proactive Physicians Of Marietta, PC is located at 790 Church St NE Suite 220, Marietta, GA 30060. The listed phone number is (678) 753-9300.
What is Proactive Physicians Of Marietta, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Proactive Physicians Of Marietta, PC enrolled in Medicare?
Yes. Proactive Physicians Of Marietta, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proactive Physicians Of Marietta, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Proactive Physicians Of Marietta, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Proactive Physicians Of Marietta, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2131205) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Proactive Physicians Of Marietta, PC accept?
Health plans from Ambetter Health list Proactive Physicians Of Marietta, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Proactive Physicians Of Marietta, PC was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Proactive Physicians Of Marietta, Pc · NPI 1003356361
Primary Care organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since March 6, 2017.
## Identity
- **NPI:** 1003356361 (Entity type: Organization)
- **Enumerated:** March 6, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Richard Mills, COO
## Practice location
- **Address:** 790 CHURCH ST NE, SUITE 220, Marietta, GA 30060-7282
- **Phone:** (678) 753-9300 · **Fax:** (678) 753-9300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003356361) · Data from the CMS NPPES public registry.