REDICLINIC LLC (NPI# 1124196670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124196670 |
| Entity Type | Organization |
| Organization Name | REDICLINIC LLC |
| Practice Address |
2464 Roswell Rd Marietta GA 30062-4954 |
| Mailing Address |
18059 Crescent Royale Way Humble TX 77346-3467 |
| Practice Telephone | 7135800450 |
| Practice Fax Number | 7133584845 |
| Mailing Telephone | 8669350333 |
| Mailing Fax Number | 7139359353 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICK VANPELT (VP OF OPERATIONS) |
| Authorized Official Telephone | 8669350333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932227030 | Rediclinic LLC | Clinic/Center | 1100 S Ih 35, Georgetown, TX 78626 | 2007-03-27 |
| 1497873723 | Rediclinic LLC | Clinic/Center | 16900 N. Fm 620, Round Rock, TX 78664 | 2007-03-26 |
| 1235257833 | Rediclinic LLC | Clinic/Center | 4303 Kingwood Dr, Kingwood, TX 77339-3700 | 2007-03-26 |
| 1225156870 | Rediclinic LLC | Clinic/Center | 11750 Bustleton Ave, Philadelphia, PA 19116-2516 | 2007-03-26 |
| 1700903317 | Rediclinic LLC | Clinic/Center | 3296 Chichester Ave, Boothwyn, PA 19061-3250 | 2007-03-26 |
| 1700904331 | Rediclinic LLC | Clinic/Center | 3200 Red Lion Rd # 92, Philadelphia, PA 19114-1129 | 2007-03-26 |
| 1114067519 | Rediclinic LLC | Clinic/Center | 3911 North Mall Avenue, Fayetteville, AR 72703 | 2007-02-07 |
| 1750459418 | Rediclinic LLC | Clinic/Center | 3111 Woodridge Dr, Suite 500, Houston, TX 77087-2558 | 2006-12-01 |
| 1326116922 | Rediclinic LLC | Clinic/Center | 1133 E E W Connector, Austell, GA 30106-1589 | 2006-12-01 |
| 1588782601 | Rediclinic LLC | Clinic/Center | 6711 S Fry Rd, Katy, TX 77494 | 2007-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RediClinic LLC | 30 Hunter Ln, Camp Hill, Pennsylvania 17011-2400 |
| Street Address |
2464 ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-4954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578578779 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2006-07-29 |
| 1922610039 | Joanne Yi | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2020-08-19 |
| 1790055937 | Demesha S Perry | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2012-01-04 |
| 1073880662 | Leslie Juhn | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2011-11-26 |
| 1740563105 | Nirav K Shah | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2011-09-22 |
| 1356622971 | William Charlies Smith | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2011-09-09 |
| 1255612297 | Jeanne Marie French | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2011-09-05 |
| 1447531470 | Yalin Anne See | Pharmacist | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2011-09-05 |
| 1891854303 | Deborah A Brewer | Nurse Practitioner | 2464 Roswell Rd, Marietta, GA 30062-4954 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382778 | Advanced Urology Institute of Georgia | Clinic/Center | 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060-7913 | 2019-08-20 |
| 1699259929 | Life Moves Manual Therapies, LLC | Clinic/Center | 1800 Roswell Rd Ste 1050, Marietta, GA 30062-3982 | 2018-09-21 |
| 1972091460 | Neuroworks Healthcare LLC | Clinic/Center | 3939 Roswell Rd Ste 240, Marietta, GA 30062-6285 | 2018-04-30 |
| 1053862169 | Regional Marietta Medical Center | Clinic/Center | 1469 Roswell Rd, Marietta, GA 30062-3668 | 2016-10-24 |
| 1821402348 | Washington County Free Clinic Inc | Clinic/Center | 208 3rd St, Marietta, OH 45750-3001 | 2014-06-12 |
| 1851638464 | L & P Services Inc | Clinic/Center | 215 Marion St, Marietta, OH 45750-1842 | 2013-01-16 |
| 1578703773 | Hyperbaric Medicine of North Atlanta | Clinic/Center | 1341 Canton Rd, Suite A, Marietta, GA 30066-6056 | 2009-02-27 |
| 1699920983 | Dr. Biggs Chiropractic, Inc. | Clinic/Center | 736 Johnson Ferry Rd., Suite -c130, Marietta, GA 30068-4233 | 2008-12-01 |
| 1538246251 | Urology Associates Surgical Center | Clinic/Center | 300 Tower Rd, Suite 150, Marietta, GA 30060 | 2006-11-01 |
| 1285727396 | The Family Health Centers of Georgia, Inc | Clinic/Center | 805 Campbell Hill St Nw, Marietta, GA 30060-1144 | 2006-10-02 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.