Active NPI
Rika Medical Clinic, LLC
- Family Nurse Practitioner
- Norcross, GA
National Provider Identifier
1982011359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN171690
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Norcross, GA
- NPI 1609138999
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.