MOUNTAIN LAKES MEDICAL GROUP
NPI 1972116630
Clinic/Center - Primary Care in Clayton, GA

Q: What is Mlmcuc, LLC's NPI number?

The NPI number for Mlmcuc, LLC is 1972116630. It was assigned to this organization in the NPPES registry on August 24, 2020. The provider is doing business as Mountain Lakes Medical Group.

Q: What is Mlmcuc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Mlmcuc, LLC was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 24, 2020

180 LEGACY POINT, SUITE 201, CLAYTON, GA 30525(706) 782-3100 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Aug 24, 2020 (2 updates tracked since 2020).

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About Mountain Lakes Medical Group NPPES

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

MOUNTAIN LAKES MEDICAL GROUP (NPI 1972116630) is a healthcare organization registered as a primary care in Clayton, Georgia and active in the NPI registry since August 2020. The organization lists Matthew Lemak, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972116630

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMLMCUC, LLC

Location Address180 LEGACY POINT, SUITE 201Clayton, GA 30525

Mailing Address162 Legacy PtClayton, GA 30525-5354

Phone(706) 782-3100

Organization SubpartNo

Authorized OfficialMatthew LemakCeo · (205) 329-7501

Enumeration DateAugust 24, 2020

Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1972116630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

180 LEGACY POINT, Clayton, GA 30525

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Other Names 1

Doing Business AsMountain Lakes Medical 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 Mlmcuc, LLC's NPI number?

The NPI number for Mlmcuc, LLC is 1972116630. It was assigned to this organization in the NPPES registry on August 24, 2020. The provider is doing business as Mountain Lakes Medical Group.

Where is Mlmcuc, LLC located?

Mlmcuc, LLC is located at 180 Legacy Point Suite 201, Clayton, GA 30525. The listed phone number is (706) 782-3100.

What is Mlmcuc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mlmcuc, LLC was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.