Proactive Medical Center LLC
NPI 1053946004ActiveOrganization· General Practice· Duluth, GA
General Practice in Duluth, Georgia, registered in NPPES in March 2020. The authorized official on file is Andrew Hyun, Employee.
Overview
| NPI | 1053946004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2020 |
| Last updated in NPPES | Apr 27, 2021 |
| Certified by provider | Apr 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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