Crystaline Joi Prothro, NP-C - Medicare Nurse Practitioner in Kennesaw, GA

Crystaline Joi Prothro, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Kennesaw, Georgia. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Virginia Llc, Minuteclinic Llc, Minuteclinic Diagnostic Of Tennessee Pc and her current practice location is 2782 N Cobb Pkwy, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Crystaline Joi Prothro is licensed to practice in Georgia (license number RN233492) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568060846.

Contact Information

Crystaline Joi Prothro, NP-C
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameCrystaline Joi Prothro
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2782 N Cobb Pkwy, Kennesaw, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystaline Joi Prothro graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1568060846
  • Provider Enumeration Date: 10/09/2020
  • Last Update Date: 02/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032639851
  • Enrollment ID: I20250911005015

Medical Identifiers

Medical identifiers for Crystaline Joi Prothro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568060846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN233492 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Virginia Llc6709960891137
Minuteclinic Llc6709850241571
Minuteclinic Diagnostic Of Tennessee Pc296142899080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystaline Joi Prothro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystaline Joi Prothro, NP-C
4010 Bryce Manor Ln,
Decatur, GA 30034-6256

Ph: (770) 912-9830
Crystaline Joi Prothro, NP-C
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472

Ph: (866) 389-2727

Reviews and Comments


Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP
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Phone: 678-797-2844    Fax: 678-797-2827
Ms. Tanya S Wilcox, NP
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Phone: 770-515-9000    
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Phone: 770-426-5666    Fax: 770-426-6205
Ms. Stacey Levison, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152
Phone: 770-590-8181    
Shakira Lynn, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 2782 N Cobb Pkwy, Kennesaw, GA 30152
Phone: 877-993-4321    
Ms. Kimberly Noel Johnson,
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Medicare: Not Enrolled in Medicare
Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144
Phone: 678-354-2273    
Julia Perry Wutz,
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Medicare: Accepting Medicare Assignments
Practice Location: 4255 Wade Green Rd Nw Ste 320, Kennesaw, GA 30144
Phone: 770-423-1316    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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