Mc Medical LLC

Mc Medical LLC is a healthcare organization registered as General Practice Physician in Columbus, GA, holding Type 2 (organization) NPI 1306253521 since 2014. The authorized official on file is Soujanya Pulluru, President.

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NPI	1306253521
Entity type	Organization (Type 2)
Legal business name	Mc Medical LLC
Other name	<Unavail>
Practice address	5448 WHITTLESEY BLVD, STE B, Columbus, GA, 31909
Phone	7062255681
Fax	7063217118
Enumeration date	2014-07-21
Last updated in NPPES	2022-11-22

Authorized official

Name	Soujanya Pulluru
Title	President
Phone	7062255681

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
363L00000X	Nurse Practitioner	Secondary	—	—
208D00000X	General Practice Physician	Primary	—	—

Copy-ready billing details

Provider: Mc Medical LLC
NPI: 1306253521
Taxonomy: 208D00000X (General Practice Physician)
Address: 5448 WHITTLESEY BLVD, STE B, Columbus, GA, 31909

Providers at this address

NPI	Name	Type	Specialty	Location
1568062743	Robert Stamm	Individual	Pharmacist	Columbus, GA
1326648338	Ricardo Bourgoin	Individual	Pharmacist	Columbus, GA
1477309797	Amy Schroeder	Individual	Optician	Columbus, GA

Verify this record

Cross-check NPI 1306253521 against the authoritative CMS record: view Mc Medical LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-11-22. Verify at npiregistry.cms.hhs.gov.

Where is Mc Medical LLC located?

The practice location on file with NPPES is in Columbus, GA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-22.