Mc Medical LLC
NPI 1356907695 · General Practice Physician · Dallas, GA
Mc Medical LLC is a General Practice Physician organization in Dallas, GA (NPI 1356907695).
Provider details
- NPI number
- 1356907695
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Soujanya Pulluru, President(770) 863-7200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
9 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (8)
- 1438 Dogwood Dr. SeConyers, GA 30013Phone: (770) 860-8544
- 125 Pavilion Pkwy Ste aFayetteville, GA 30214-4098Phone: (770) 719-0939Fax: (770) 719-0940
- 4221 Atlanta Hwy Ste 101Loganville, GA 30052-7316Phone: (704) 796-3974Fax: (770) 554-1167
- 210 Cobb Pkwy S Ste 100Marietta, GA 30060-6509Phone: (770) 955-6836
- 137 Willow LnMcdonough, GA 30253-6574Phone: (704) 830-4094Fax: (770) 954-0271
- 2042 W Spring StMonroe, GA 30655-3164Phone: (770) 267-4175
- 3245 Lawrenceville Suwanee Rd Ste 100Suwanee, GA 30024-6541Phone: (678) 482-5441
- 6435 Bells Ferry Rd Ste 110Woodstock, GA 30189-2317Phone: (770) 928-0628Fax: (770) 928-0646
Registry dates
- Enumerated
- 2019-05-13
- Last updated
- 2021-12-14
- Certified
- 2021-12-13
Frequently asked questions
- What is Mc Medical LLC's NPI number?
- Mc Medical LLC's National Provider Identifier (NPI) is 1356907695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mc Medical LLC?
- Mc Medical LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Mc Medical LLC located?
- Mc Medical LLC's practice location on file with NPPES is 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472.
- What is Mc Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Mc Medical LLC is (770) 863-7200.
- Who is the authorized official for Mc Medical LLC?
- The authorized official listed on Mc Medical LLC's NPPES record is Soujanya Pulluru, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mc Medical LLC's NPI active?
- Yes — Mc Medical LLC's NPI (1356907695) is active in the NPPES registry as of the last update on 2021-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.