CRYSTALINE JOI PROTHRO NP-C
NPI 1568060846
Nurse Practitioner - Family in Kennesaw, GA
About Crystaline Joi Prothro Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTALINE JOI PROTHRO NP-C (NPI 1568060846) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN233492) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roswell, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Crystaline Joi Prothro Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Crystaline Prothro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37215
- Reassigned Medicare billing, Tennessee enrollment
- 123 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 266 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Crystaline Prothro's NPI number?
The NPI number for Crystaline Prothro is 1568060846. It was assigned to this individual provider in the NPPES registry on October 9, 2020.
Where is Crystaline Prothro located?
Crystaline Prothro practices at 2782 N Cobb Pkwy, Kennesaw, GA 30152. The listed phone number is (866) 389-2727.
What is Crystaline Prothro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystaline Prothro enrolled in Medicare?
Yes. Crystaline Prothro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Crystaline Prothro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystaline Prothro reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic Of Tennessee PC (Nashville, TN), Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA) and Minuteclinic LLC (Rockville, MD). Each 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 Crystaline Prothro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Crystaline Prothro accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Crystaline Prothro 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 Crystaline Prothro was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Crystaline Joi Prothro, NP-C · NPI 1568060846
Family physician in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since October 9, 2020.
## Identity
- **NPI:** 1568060846 (Entity type: Individual)
- **Enumerated:** October 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN233492 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2782 N COBB PKWY, Kennesaw, GA 30152-3472
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Of Tennessee PC (NPI 1457323164, Nashville, TN); Minuteclinic Diagnostic Of Virginia LLC (NPI 1417076829, Leesburg, VA); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568060846) · Data from the CMS NPPES public registry.