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

Crystaline Joi Prothro, NP-C

Individual provider Family Nurse Practitioner · NPI 1568060846

Crystaline Joi Prothro, NP-C is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2020, 6 years ago. Practices with Minuteclinic Diagnostic of Virginia LLC, a 141-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1305 Hembree Rd, Roswell, GA 30076-3810 — (470) 485-6342

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN233492 (GA)

Record details

NPI number1568060846
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Minuteclinic Diagnostic Of Virginia Llc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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