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MEDICI URGENT CARE AND WELLNESS CENTER, LLC
NPI 1225630395
Emergency Medicine in Atlanta, GA

Active since November 12, 2020CLIA 11D2214289 · Waiver
1039 GRANT ST SE STE D12, ATLANTA, GA 30315(678) 736-5248 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2021, Jun 3, 2021, Nov 12, 2020 (3 updates tracked since 2020).

About Medici Urgent Care And Wellness Center, Llc NPPES

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

MEDICI URGENT CARE AND WELLNESS CENTER, LLC (NPI 1225630395) is a healthcare organization registered as an emergency medicine in Atlanta, Georgia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Mboh E Elango, Ceo/ Owner, as its authorized official.

NPPES Registry Identity

NPI1225630395
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMEDICI URGENT CARE AND WELLNESS CENTER
Location Address1039 GRANT ST SE STE D12Atlanta, GA 30315-2014
Mailing Address1039 Grant St Se Ste D12Atlanta, GA 30315-2014 · (678) 778-6983
Phone(678) 736-5248
Organization SubpartNo
Authorized OfficialMboh E ElangoCeo/ Owner · (678) 778-6983
Enumeration DateNovember 12, 2020
Last NPPES UpdateJune 29, 20213 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1225630395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1039 GRANT ST SE STE D12, Atlanta, GA 30315
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Other Names 1

Doing Business AsMedici Urgent Care And Wellness Center, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2214289

Medici Urgent Care And Wellness Center · Atlanta, GA
Active · expires Feb 21, 2027
CLIA Number11D2214289
Laboratory TypeUrgent Care
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorMboh Elango
Laboratory Phone(678) 778-6983
Laboratory LocationMedici Urgent Care And Wellness Center1039 Grant Street, Suite D-12, SE, Atlanta, GA 30315
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MBOH E ELANGO M.D
Emergency Medicine
1039 GRANT ST SE STE D12
ATLANTA, GA 30315
Fulton County (678) 736-5248
MDMEDICI
Emergency Medicine
1039 GRANT ST SE STE D12
ATLANTA, GA 30315
Fulton County (678) 736-5248

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 Medici Urgent Care And Wellness Center's NPI number?

The NPI number for Medici Urgent Care And Wellness Center is 1225630395. It was assigned to this organization in the NPPES registry on November 12, 2020. The provider is doing business as Medici Urgent Care And Wellness Center, LLC.

Where is Medici Urgent Care And Wellness Center located?

Medici Urgent Care And Wellness Center is located at 1039 Grant St SE Ste D12, Atlanta, GA 30315. The listed phone number is (678) 736-5248.

What is Medici Urgent Care And Wellness Center's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Does Medici Urgent Care And Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2214289) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medici Urgent Care And Wellness Center was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.