Medipractic LLC
Medipractic LLC is a healthcare organization registered as Sports Medicine (Neuromusculoskeletal Medicine) Physician in Loganville, GA, holding Type 2 (organization) NPI 1699834697 since 2006. The authorized official on file is William Willis, Sec.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699834697 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Medipractic LLC |
| Other name | <Unavail> |
| Practice address | 3955 HARRISON RD, STE. 400, Loganville, GA, 30052 |
| Phone | 7704960326 |
| Fax | 7704929599 |
| Enumeration date | 2006-12-06 |
| Last updated in NPPES | 2012-12-21 |
Authorized official
| Name | William Willis |
|---|---|
| Title | Sec |
| Phone | 7704960326 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | Primary | — | — |
Copy-ready billing details
Provider: Medipractic LLC NPI: 1699834697 Taxonomy: 204C00000X (Sports Medicine (Neuromusculoskeletal Medicine) Physician) Address: 3955 HARRISON RD, STE. 400, Loganville, GA, 30052
Verify this record
Cross-check NPI 1699834697 against the authoritative CMS record: view Medipractic 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
What type of organization is Medipractic LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-12-21.