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

Medipractic LLC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1699834697

Medipractic LLC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Loganville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3955 Harrison Rd Ste 400
Loganville, GA 30052-8501
Phone: (770) 496-0326
Fax: (770) 492-9599
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X

Record details

NPI number1699834697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Willis — Sec · (770) 496-0326
Other names Medipractic Pain Management
NPI enumeratedDecember 6, 2006
Last updated in NPPESDecember 21, 2012
Mailing address3955 Harrison Rd, Ste. 400, Loganville, GA 30052-8501