Mlmcuc, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MLMCUC, LLC

Practice address

162 Legacy PT Ste C
Clayton, GA 30525-5354

Phone

(706) 960-9533

NPI assigned

May 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Lemak

Title

Ceo

Phone

(205) 536-7164

Specialties & licenses 1

Addresses

Other names 1

• Mountain Lakes Medical Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1255905352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 LEGACY PT",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEGACY PT STE C",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255354",
            "telephone_number": "706-960-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLMCUC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "LEMAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-536-7164"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Lakes Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Ashley D. Miller, OTR/L
• Autumn Mills, NP-C
• Mlmcuc, LLC
• Lisa Mooney
• Harriet Josephine Moseley, LPN
• Sandra Joan Moss, LCSW
• Kyle Bennett Mott, RPH

• All providers in Clayton, GA
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.