PROGRESSIVE MEDICAL CENTERS OF AMERICA LTD
NPI 1174416622
Integrative Medicine in Atlanta, GA
NPI Status: Active since June 02, 2025
Contact Information
4646 N SHALLOWFORD RD
ATLANTA, GA
ZIP 30338
Phone: (770) 676-6000
Fax: (844) 313-6296
- Organization
- Integrative Medicine
- CLIA Number: 11D2167154
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-03-2027
About PROGRESSIVE MEDICAL CENTERS OF AMERICA LTD
This page provides the complete NPI Profile along with additional information for Progressive Medical Centers Of America Ltd, a provider established in Atlanta, Georgia operating as a Integrative Medicine. The healthcare provider is registered in the NPI registry with number 1174416622 assigned on June 2025. The practitioner's primary taxonomy code is 202D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Progressive Medical Centers Of America Ltd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Miss Carol Thompson (Billing Manager)
- NPI
- 1174416622
- Provider Name
- PROGRESSIVE MEDICAL CENTERS OF AMERICA LTD
- Entity Type
- Organization
- Location Address
- 4646 N SHALLOWFORD RD ATLANTA, GA 30338
- Location Phone
- (770) 676-6000
- Location Fax
- (844) 313-6296
- Mailing Address
- 4646 N SHALLOWFORD RD ATLANTA, GA 30338
- Mailing Phone
- (770) 676-6000
- Mailing Fax
- (844) 313-6296
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2025
- Last Update Date
- 07-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Integrative Medicine
- Taxonomy Code
- 202D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2167154
- Facility Type
- Physician Office
- Certificate Effective Date
- June 04, 2025
- Certificate Expiration Date
- June 03, 2027
- Laboratory Director
- VIKTOR BOUQUETTE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Progressive Medical Centers Of America Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174416622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATLANTA, GA 30338
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174416622, enumerated as an "organization" on June 02, 2025.
The provider is located at 4646 N SHALLOWFORD RD ATLANTA, GA 30338 and the phone number is (770) 676-6000.
Integrative Medicine with taxonomy code 202D00000X.
