NPI age
11 years
Enumerated 2014-07-22
● Active Type 2 · Organization
Mc Medical Llc
Mc Medical Llc is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pulluru
President
Last NPPES update
2022-11-22
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
815 Shugart Rd
Dalton, GA 307202433
Mailing address
702 Sw 8th St
Bentonville, AR 727160445
Authorized official
Soujanya Pulluru
President
📞 7062777661
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Vida Awasom Pharmacist NPI 1316549173
- Deidra Brown, RPH Pharmacist NPI 1497936223
- Joshua Fowler Pharmacist NPI 1881296622
- Lorena Quintero Pharmacist NPI 1184226938
- Todd Thomas, PHARMD Pharmacist NPI 1134585193
- William White, OD Optometrist NPI 1083744908
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walmart Health
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.