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PROACTIVE MEDICAL CENTER LLC
NPI 1053946004
General Practice in Duluth, GA

Active since March 10, 2020
3455 PEACHTREE INDUSTRIAL BLVD STE 910, DULUTH, GA 30096(678) 584-5000 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2021, Mar 10, 2020 (2 updates tracked since 2020).

About Proactive Medical Center Llc NPPES

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

PROACTIVE MEDICAL CENTER LLC (NPI 1053946004) is a healthcare organization registered as a general practice in Duluth, Georgia and active in the NPI registry since March 2020. The organization lists Andrew Hyun, Employee, as its authorized official.

NPPES Registry Identity

NPI1053946004
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROACTIVE MEDICAL CENTER LLC
Location Address3455 PEACHTREE INDUSTRIAL BLVD STE 910Duluth, GA 30096-6502
Mailing Address3455 Peachtree Industrial Blvd Ste 910Duluth, GA 30096-6502
Phone(678) 584-5000
Organization SubpartNo
Authorized OfficialAndrew HyunEmployee · (770) 367-3325
Enumeration DateMarch 10, 2020
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1053946004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3455 PEACHTREE INDUSTRIAL BLVD STE 910, Duluth, GA 30096
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PROACTIVE MEDICAL CLINIC CORP
General Practice
3455 PEACHTREE INDUSTRIAL BLVD STE 910
DULUTH, GA 30096
Gwinnett County (678) 584-5000
THOMAS YOUNG KANG PA-C
Physician Assistant
3455 PEACHTREE INDUSTRIAL BLVD STE 910
DULUTH, GA 30096
Gwinnett County (678) 744-7246
NOVA MEDICAL CLINIC LLC
General Practice
3455 PEACHTREE INDUSTRIAL BLVD STE 910
DULUTH, GA 30096
Gwinnett County (770) 584-5000

Frequently 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 Medical Center LLC's NPI number?

The NPI number for Proactive Medical Center LLC is 1053946004. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is Proactive Medical Center LLC located?

Proactive Medical Center LLC is located at 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096. The listed phone number is (678) 584-5000.

What is Proactive Medical Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Proactive Medical Center LLC was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.