Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackpool LLC

Organization Internal Medicine Physician · NPI 1124361811

Blackpool LLC is an Internal Medicine Physician in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4415 Frnt Nine DR Ste 600
Cumming, GA 30041-6239
Phone: (770) 744-7688
Fax: (770) 406-1058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 058633 (GA)

Record details

NPI number1124361811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkatappa Rangaraj — Owner · (513) 218-3468
Other names Georgia Medical Clinic; Georgia Medical Clinic
NPI enumeratedApril 1, 2013
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address4415 Front Nine Dr Ste 600, Cumming, GA 30041-6239

Other providers in Cumming