Mdmedici

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MDMEDICI

Practice address

1039 Grant St SE Ste D12
Atlanta, GA 30315-2014

Phone

(678) 736-5248

Fax

(407) 635-8971

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Mboh Elango, MD

Title

Owner

Phone

(678) 736-5248

Specialties & licenses 1

Addresses

Other names 1

• MDMedici Former legal business name

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1538875463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 GRANT ST SE STE D12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152014",
            "telephone_number": "678-736-5248",
            "fax_number": "407-635-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 GRANT ST SE STE D12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152014",
            "telephone_number": "678-736-5248",
            "fax_number": "407-635-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDMEDICI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "ELANGO",
        "authorized_official_first_name": "MBOH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-736-5248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDMedici",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Juaritha McWilliams, DBA
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• Mohamad Mdaihly, MD
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• Mdvip Medical Group Ga-Atl
• Me and My Nanna, LLC

• Emergency Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.