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PROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC
NPI 1295181261
General Practice in Atlanta, GA

Active since May 10, 2016CLIA 11D2167154 · Waiver
4646 N SHALLOWFORD RD, ATLANTA, GA 30338(678) 736-6343(678) 990-0940 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Progressive Healthcare & Diagnostics, Llc NPPES

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

PROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC (NPI 1295181261) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Mary Leach, Billing Collection, as its authorized official.

NPPES Registry Identity

NPI1295181261
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROGRESSIVE HEALTHCARE & DIAGNOSTICS, LLC
Location Address4646 N SHALLOWFORD RDAtlanta, GA 30338-6308
Mailing Address303 Perimeter Ctr N Ste 300Atlanta, GA 30346-3401 · (678) 736-6343 · Fax (678) 990-0940
Phone(678) 736-6343
Fax(678) 990-0940
Organization SubpartNo
Authorized OfficialMary LeachBilling Collection · (678) 736-6342
Enumeration DateMay 10, 2016
✔ NPI 1295181261 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
4646 N SHALLOWFORD RD, Atlanta, GA 30338
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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

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 of Waiver 11D2167154

Progressive Healthcare & Diagnostics, LLC · Atlanta, GA
Active · expires Jun 3, 2027
CLIA Number11D2167154
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorViktor Bouquette
Laboratory Phone(770) 676-6000
Laboratory LocationProgressive Healthcare & Diagnostics, LLC4646 North Shallowford Road, Atlanta, GA 30338
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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.

PROGRESSIVE MEDICAL CENTERS OF AMERICA LTD
Integrative Medicine
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
CARI CATER LAC
Acupuncturist
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (941) 228-2833
MELISSA NOHR
Health and Wellness Coach
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
MRS. PATTI MATALONE
Registered Nurse
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
AMY TARQUINI ND
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
MRS. CHERYL BURDETTE ND
Naturopath
4646 N SHALLOWFORD RD
DUNWOODY, GA 30338
Dekalb County (678) 736-6374
NICOLE KROKO STROVINSKAS DIETITIAN
Dietitian, Registered
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000
ADELENA MARIE IZOLD ND
Naturopath
4646 N SHALLOWFORD RD
ATLANTA, GA 30338
Dekalb County (770) 676-6000

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 Progressive Healthcare & Diagnostics, LLC's NPI number?

The NPI number for Progressive Healthcare & Diagnostics, LLC is 1295181261. It was assigned to this organization in the NPPES registry on May 10, 2016.

Where is Progressive Healthcare & Diagnostics, LLC located?

Progressive Healthcare & Diagnostics, LLC is located at 4646 N Shallowford Rd, Atlanta, GA 30338. The listed phone number is (678) 736-6343.

What is Progressive Healthcare & Diagnostics, LLC's specialty?

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

Does Progressive Healthcare & Diagnostics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2167154) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Progressive Healthcare & Diagnostics, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.