Organization Active NPI

Medinova Healthcare

  • Urgent Care Clinic/Center
  • Norcross, GA
National Provider Identifier
1457273062
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDINOVA HEALTHCARE
Practice address
5304 Hunter Ridge LN
Norcross, GA 30092-3759
Phone
(470) 610-9397
NPI assigned
Jul 27, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Haricharanteja Madduri
Title
President
Phone
(943) 204-7580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

5304 Hunter Ridge LN
Norcross, GA 30092-3759

Mailing address

6050 Peachtree Pkwy Ste 240-242
Norcross, GA 30092-3336
Phone (943) 204-7580

National Provider Directory

National Provider Directory

Locations

6050 Peachtree Pkwy
Ste 240242
Norcross, GA 30092

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1457273062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 240-242",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923336",
            "telephone_number": "943-204-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 HUNTER RIDGE LN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923759",
            "telephone_number": "470-610-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINOVA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "MADDURI",
        "authorized_official_first_name": "HARICHARANTEJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "943-204-7580"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.