PRODIAGNOSTICS MEDICAL CENTER
NPI 1720598030
Nurse Practitioner - Family in Acworth, GA
About Prodiagnostics Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRODIAGNOSTICS MEDICAL CENTER (NPI 1720598030) is a healthcare organization registered as a family in Acworth, Georgia and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Carlos Alberto Escobar, Family Nurse Practicioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 11D2135672
Prodiagnostics Medical Center · Acworth, GAOther Providers at the Same Location NPPES
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 Prodiagnostics Medical Center's NPI number?
The NPI number for Prodiagnostics Medical Center is 1720598030. It was assigned to this organization in the NPPES registry on October 2, 2017.
Where is Prodiagnostics Medical Center located?
Prodiagnostics Medical Center is located at 6460 Highway 92 Ste 200, Acworth, GA 30102. The listed phone number is (678) 915-1891.
What is Prodiagnostics Medical Center's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Prodiagnostics Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2135672) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Prodiagnostics Medical Center accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Prodiagnostics Medical Center 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 Prodiagnostics Medical Center was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Prodiagnostics Medical Center · NPI 1720598030
Family organization in Acworth, Georgia. Organization record, active in the CMS NPPES registry since October 2, 2017.
## Identity
- **NPI:** 1720598030 (Entity type: Organization)
- **Enumerated:** October 2, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Carlos Escobar, FAMILY NURSE PRACTICIONER
## Practice location
- **Address:** 6460 HIGHWAY 92 STE 200, Acworth, GA 30102-2998
- **Phone:** (678) 915-1891
## Record status
- **NPPES last updated:** October 2, 2017
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1720598030) · Data from the CMS NPPES public registry.