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General NPI Number Information
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NPI Number | 1841053204
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Entity Type | Organization
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Legal Business Name | MEDCITY, LLC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4239 MUNDY MILL RD
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City | OAKWOOD
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State | GA
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Zip | 30566-2574
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Country | US
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Telephone | 678-517-5645
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 920813
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30010-0813
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Country | US
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Telephone | 352-617-9649
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. MADHAVI RAYAPUDI
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Credential | MD
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Telephone | 352-617-9649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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