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MEDIPRACTIC PAIN MANAGEMENT
NPI 1699834697
Neuromusculoskeletal Medicine, Sports Medicine in Loganville, GA

Active since December 06, 2006
3955 HARRISON RD, STE. 400, LOGANVILLE, GA 30052(770) 496-0326(770) 492-9599 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medipractic Pain Management NPPES

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

MEDIPRACTIC PAIN MANAGEMENT (NPI 1699834697) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Loganville, Georgia and active in the NPI registry since December 2006. The organization lists William E Willis, Sec, as its authorized official.

NPPES Registry Identity

NPI1699834697
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameMEDIPRACTIC LLC
Location Address3955 HARRISON RD, STE. 400Loganville, GA 30052-8501
Mailing Address3955 Harrison Rd, Ste. 400Loganville, GA 30052-8501 · (770) 496-0326 · Fax (770) 492-9599
Phone(770) 496-0326
Fax(770) 492-9599
Organization SubpartNo
Authorized OfficialWilliam E WillisSec · (770) 496-0326
Enumeration DateDecember 6, 2006
Last NPPES UpdateDecember 21, 2012
✔ NPI 1699834697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
3955 HARRISON RD, Loganville, GA 30052
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Other Names 1

Doing Business AsMedipractic Pain Management

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

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 Medipractic LLC's NPI number?

The NPI number for Medipractic LLC is 1699834697. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Medipractic Pain Management.

Where is Medipractic LLC located?

Medipractic LLC is located at 3955 Harrison Rd Ste. 400, Loganville, GA 30052. The listed phone number is (770) 496-0326.

What is Medipractic LLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Medipractic LLC was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.