Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proactive Collaboration LLC

Organization General Practice Physician · NPI 1861253437

Proactive Collaboration LLC is a General Practice Physician in Lilburn, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4803 Carlene Way SW
Lilburn, GA 30047-4705
Phone: (888) 434-9492
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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

Record details

NPI number1861253437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Gilliard — Owner · (888) 434-9492
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address4803 Carlene Way Sw, Lilburn, GA 30047-4705

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