MDCARE CLINIC LLC
NPI 1932947751
General Practice in Loganville, GA

Active since July 16, 2024
106 BROAD ST, LOGANVILLE, GA 30052(442) 333-7656 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mdcare Clinic Llc NPPES

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

MDCARE CLINIC LLC (NPI 1932947751) is a healthcare organization registered as a general practice in Loganville, Georgia and active in the NPI registry since July 2024. The organization lists Prashanth Rawla, Owner, as its authorized official.

NPPES Registry Identity

NPI1932947751
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMDCARE CLINIC LLC
Location Address106 BROAD STLoganville, GA 30052-7463
Mailing Address106 Broad StLoganville, GA 30052-7463
Organization SubpartNo
Authorized OfficialPrashanth RawlaOwner · (214) 666-9528
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1932947751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
106 BROAD ST, Loganville, GA 30052

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mdcare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mdcare Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Obstetrics/Gynecology
NPI 1962663666
3650 STEVE REYNOLDS BLVD
Duluth, GA 30096
(470) 791-7199
✔ PECOS15 mi
Hospitalist
NPI 1942596077
541 441 HISTORIC HWY N
Demorest, GA 30535
(706) 839-4000
✔ PECOS✔ Accepts Medicare64 mi
Nephrology
NPI 1124258843
1120 15TH ST
Augusta, GA 30912
(706) 721-8623
✔ PECOS✔ Accepts Medicare113 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mdcare Clinic LLC's NPI number?

The NPI number for Mdcare Clinic LLC is 1932947751. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Mdcare Clinic LLC located?

Mdcare Clinic LLC is located at 106 Broad St, Loganville, GA 30052. The listed phone number is (442) 333-7656.

What is Mdcare Clinic LLC's specialty?

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

Is Mdcare Clinic LLC enrolled in Medicare?

Yes. Mdcare Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mdcare Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mdcare Clinic LLC, in Hospitalist, Nephrology and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mdcare Clinic LLC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.