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RIVERDALE MEDICAL CENTER LLC
NPI 1033496070
General Practice in Riverdale, GA

Active since November 04, 2011
189 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274(770) 907-2333(770) 907-2299 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverdale Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERDALE MEDICAL CENTER LLC (NPI 1033496070) is a healthcare organization registered as a general practice in Riverdale, Georgia and active in the NPI registry since November 2011. The organization lists Shelly Moreland, Manager, as its authorized official.

NPPES Registry Identity

NPI1033496070
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameRIVERDALE MEDICAL CENTER LLC
Location Address189 MEDICAL WAY, SUITE BRiverdale, GA 30274-4905
Mailing Address189 Medical Way, Suite BRiverdale, GA 30274-4905 · (770) 907-2333 · Fax (770) 907-2299
Phone(770) 907-2333
Fax(770) 907-2299
Organization SubpartNo
Authorized OfficialShelly MorelandManager · (404) 543-6949
Enumeration DateNovember 4, 2011
✔ NPI 1033496070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
189 MEDICAL WAY, Riverdale, GA 30274
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICA MEDICA FAMILIAR, LLP
Obstetrics & Gynecology
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274
Clayton County (770) 996-9681
CLINICA MEDICA DR RENE DELGADO, INC
Obstetrics & Gynecology
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274
Clayton County (770) 996-9681
PEDIATRIC CLINIC, PC
Clinic/Center (Primary Care)
189 MEDICAL WAY, SUITE C
RIVERDALE, GA 30274
Clayton County (770) 991-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverdale Medical Center LLC's NPI number?

The NPI number for Riverdale Medical Center LLC is 1033496070. It was assigned to this organization in the NPPES registry on November 4, 2011.

Where is Riverdale Medical Center LLC located?

Riverdale Medical Center LLC is located at 189 Medical Way Suite B, Riverdale, GA 30274. The listed phone number is (770) 907-2333.

What is Riverdale Medical Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Riverdale Medical Center LLC was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.