OrganizationActive
Proactive Healthcare Solutions, LLC
NPI 1780958835 · Clinic/Center · Conyers, GA
Provider details
- NPI number
- 1780958835
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vincent Veneziano, Sole Member(678) 602-2569
- License
- 5106 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2434 Wall St Se
Suite a
Conyers, GA 30013-6760
Phone: (770) 679-5515
Fax: (770) 648-6682
Street-level locationGet directions
Mailing address
741 Lynn Milam Ln
Conyers, GA 30094-4108
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2016-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.