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

Progressive Community Healthcare

Organization Adult Medicine Physician · NPI 1407877764

Progressive Community Healthcare is an Adult Medicine Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

494 Blvd SE
Atlanta, GA 30312-3426
Phone: (404) 607-1002
Fax: (404) 607-1031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Clinic/Center Taxonomy 261Q00000X (GA)

Record details

NPI number1407877764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quatoya Tyson — Clinical Office Coordinator · (404) 607-1002
NPI enumeratedJuly 22, 2006
Last updated in NPPESDecember 13, 2011
Mailing addressPo Box 54723, Atlanta, GA 30308

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