NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medipractic LLC

Sports Medicine (Neuromusculoskeletal Medicine) Physician in Loganville, GA · enumerated 2006 · authorized official William Willis, Sec.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699834697

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Medipractic LLC
Other name <Unavail>
Practice address 3955 Harrison Rd, Ste. 400, Loganville, GA, 30052
Fax (770) 492-9599
Enumeration date Dec 6, 2006
Last updated in NPPES Dec 21, 2012

Taxonomy & classification

204C00000X Sports Medicine (Neuromusculoskeletal Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name William Willis
Title Sec

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 → Validate an NPI →

Frequently asked questions

What type of organization is Medipractic LLC?
Medipractic LLC is registered in NPPES as a Sports Medicine (Neuromusculoskeletal Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-21.