1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Family Medicine
  6. NPI Profile

PROGRESSIVE COMMUNITY HEALTHCARE
NPI 1407877764
Family Medicine - Adult Medicine in Atlanta, GA

Active since July 22, 2006
494 BOULEVARD SE, ATLANTA, GA 30312(404) 607-1002(404) 607-1031 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Progressive Community Healthcare NPPES

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

PROGRESSIVE COMMUNITY HEALTHCARE (NPI 1407877764) is a healthcare organization registered as an adult medicine in Atlanta, Georgia and active in the NPI registry since July 2006. The organization lists Quatoya R Tyson, Clinical Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1407877764
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePROGRESSIVE COMMUNITY HEALTHCARE
Location Address494 BOULEVARD SEAtlanta, GA 30312-3426
Mailing AddressPo Box 54723Atlanta, GA 30308 · (404) 607-1002 · Fax (404) 607-1031
Phone(404) 607-1002
Fax(404) 607-1031
Organization SubpartNo
Authorized OfficialQuatoya R TysonClinical Office Coordinator · (404) 607-1002
Enumeration DateJuly 22, 2006
Last NPPES UpdateDecember 13, 2011
✔ NPI 1407877764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/CenterTaxonomy 261Q00000X
494 BOULEVARD SE, Atlanta, GA 30312
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINGRP7609GA
Medicaid229783620BGA
Medicare ID-Type UnspecifiedGRP7609GA

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.

BETTER HEALTH GREATER LIFE LLC
Obstetrics & Gynecology (Gynecology)
494 BOULEVARD SE
ATLANTA, GA 30312
Fulton County (404) 835-7779
K & L CARDIOVASCULAR
Internal Medicine (Cardiovascular Disease)
494 BOULEVARD SE
ATLANTA, GA 30312
Fulton County (770) 891-1465
DIVINITY INTERNAL MEDICINE & ASSOCIATES INC.
Point of Service
494 BOULEVARD SE
ATLANTA, GA 30312
Fulton County (404) 607-1002

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 Community Healthcare's NPI number?

The NPI number for Progressive Community Healthcare is 1407877764. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Progressive Community Healthcare located?

Progressive Community Healthcare is located at 494 Boulevard SE, Atlanta, GA 30312. The listed phone number is (404) 607-1002.

What is Progressive Community Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Progressive Community Healthcare was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.