Proactive Physicians of Marietta, PC
NPI 1003356361 · Primary Care Clinic/Center · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proactive Physicians of Marietta, PC is a Primary Care Clinic/Center organization in Marietta, GA (NPI 1003356361).
Provider details
- NPI number
- 1003356361
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Mills, Coo(678) 794-2216
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2017-03-06
Frequently asked questions
- What is Proactive Physicians of Marietta, PC's NPI number?
- Proactive Physicians of Marietta, PC's National Provider Identifier (NPI) is 1003356361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Physicians of Marietta, PC?
- Proactive Physicians of Marietta, PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive Physicians of Marietta, PC located?
- Proactive Physicians of Marietta, PC's practice location on file with NPPES is 790 Church St Ne, Marietta, GA 30060-7282.
- What is Proactive Physicians of Marietta, PC's phone number?
- The practice phone number listed in the NPPES registry for Proactive Physicians of Marietta, PC is (678) 753-9300.
- Does Proactive Physicians of Marietta, PC accept Medicare?
- Proactive Physicians of Marietta, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proactive Physicians of Marietta, PC?
- The authorized official listed on Proactive Physicians of Marietta, PC's NPPES record is Richard Mills, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Physicians of Marietta, PC's NPI active?
- Yes — Proactive Physicians of Marietta, PC's NPI (1003356361) is active in the NPPES registry as of the last update on 2017-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.