P Praxis·MD
● Active Type 2 · Organization

Blackpool Llc

Internal Medicine·Cumming, GA· NPI 1124361811 · Enumerated 2013 · 13 years on NPI
Blackpool Llc is 1 of 5027 internal medicine organizations in Georgia.
NPI age
13 years
Enumerated 2013-04-01
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rangaraj
Owner
Last NPPES update
2023-02-14
Source: monthly bulk 2026-05

How this organization compares

Across 5027 active internal medicine providers in Georgia.

NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
4415 Front Nine Dr Ste 600
Cumming, GA 300416239
📞 7707447688fax 7704061058
Mailing address
4415 Front Nine Dr Ste 600
Cumming, GA 300416239
📞 7707447688fax 7704061058

Authorized official

Venkatappa Rangaraj, MD
Owner
📞 5132183468

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #058633 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 003132617A

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Georgia Medical Clinic
    Type code 3 recorded 2022-02-25
  • Georgia Medical Clinic
    Type code 3 recorded 2013-04-01

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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