Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pro-Med of Atlanta, PC

Organization General Practice Physician · NPI 1730491473

Pro-Med of Atlanta, PC provides General Practice Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4646 N Shallowford Rd #400
Atlanta, GA 30338 Not confirmed with CMS for 16 years — call before visiting
Phone: (770) 676-6000
Fax: (770) 392-9805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence AT2218116 (GA)
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1730491473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Tanner — Medical Doctor · (770) 676-6000
NPI enumeratedJuly 10, 2010
Last updated in NPPESJuly 10, 2010
Mailing address4646 N Shallowford Rd, 400, Atlanta, GA 30338-6308

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