Healthcare Provider Details

I. General information

NPI: 1841053204
Provider Name (Legal Business Name): MEDCITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4239 MUNDY MILL RD
OAKWOOD GA
30566-2574
US

IV. Provider business mailing address

PO BOX 920813
PEACHTREE CORNERS GA
30010-0813
US

V. Phone/Fax

Practice location:
  • Phone: 678-517-5645
  • Fax:
Mailing address:
  • Phone: 352-617-9649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MADHAVI RAYAPUDI
Title or Position: PROVIDER
Credential: MD
Phone: 352-617-9649