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PROACTIVE COLLABORATION LLC
NPI 1861253437
General Practice in Lilburn, GA

Active since January 19, 2024
4803 CARLENE WAY SW, LILBURN, GA 30047(888) 434-9492 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proactive Collaboration Llc NPPES

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

PROACTIVE COLLABORATION LLC (NPI 1861253437) is a healthcare organization registered as a general practice in Lilburn, Georgia and active in the NPI registry since January 2024. The organization lists Theresa Gilliard, Owner, as its authorized official.

NPPES Registry Identity

NPI1861253437
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROACTIVE COLLABORATION LLC
Location Address4803 CARLENE WAY SWLilburn, GA 30047-4705
Mailing Address4803 Carlene Way SwLilburn, GA 30047-4705 · (888) 434-9492
Phone(888) 434-9492
Organization SubpartNo
Authorized OfficialTheresa GilliardOwner · (888) 434-9492
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1861253437 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
4803 CARLENE WAY SW, Lilburn, GA 30047
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA LYNN HARVEY-GILLIARD RN
Nurse Practitioner (Family)
4803 CARLENE WAY SW
LILBURN, GA 30047
Gwinnett County (267) 586-1545

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 Proactive Collaboration LLC's NPI number?

The NPI number for Proactive Collaboration LLC is 1861253437. It was assigned to this organization in the NPPES registry on January 19, 2024.

Where is Proactive Collaboration LLC located?

Proactive Collaboration LLC is located at 4803 Carlene Way SW, Lilburn, GA 30047. The listed phone number is (888) 434-9492.

What is Proactive Collaboration LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Proactive Collaboration LLC was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.