Organization Active NPI

Rika Medical Clinic, LLC

  • Family Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1982011359
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN171690 Issued in GA
Legal business name
RIKA MEDICAL CLINIC, LLC
Practice address
6131 S Norcross Tucker Rd Ste 700
Norcross, GA 30093-5535
Phone
(678) 205-1959
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Mr. Ravinder Manchireddy
Title
Ceo
Phone
(678) 205-1959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN171690 GA Primary

Addresses

Primary practice location

6131 S Norcross Tucker Rd Ste 700
Norcross, GA 30093-5535

Mailing address

631 Plow Hearth Way
Auburn, GA 30011-2371
Phone (678) 225-0609

National Provider Directory

National Provider Directory
Tax ID family
Rika Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1982011359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PLOW HEARTH WAY",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112371",
            "telephone_number": "678-225-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 S NORCROSS TUCKER RD STE 700",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935535",
            "telephone_number": "678-205-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIKA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MANCHIREDDY",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-205-1959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN171690",
            "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 Jul 17, 2014; 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.