REDICLINIC US, LLC (NPI# 1275706970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275706970 |
| Entity Type | Organization |
| Organization Name | REDICLINIC US, LLC |
| Other Organization Name | REDICLINIC |
| Practice Address |
2795 Chastain Meadows Pkwy Marietta GA 30066-3361 |
| Mailing Address |
9 Greenway Plz Suite 2950 Houston TX 77046-0905 |
| Practice Telephone | 8666077334 |
| Mailing Telephone | 8666077334 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MR. RICK VANPELT (COO) |
| Authorized Official Telephone | 8666077334 |
| Is Organization Subpart | Y |
| Parent Organization Name | REDICLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RediClinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760447 | Rediclinic Us, LLC | Clinic/Center | 1101 Branson Hills Pkwy, Branson, MO 65616-9942 | 2008-05-13 |
| 1790952075 | Rediclinic Us, LLC | Clinic/Center | 1836 S Main St, Weatherford, TX 76086-5506 | 2008-05-15 |
| 1518134808 | Rediclinic Us, LLC | Clinic/Center | 13739 N Central Expy, Dallas, TX 75243-1003 | 2008-05-15 |
| 1386811586 | Rediclinic Us, LLC | Clinic/Center | 8520 N Beach St, Keller, TX 76248-0918 | 2008-05-15 |
| 1063689206 | Rediclinic Us, LLC | Clinic/Center | 6000 Coit Rd, Plano, TX 75023-5903 | 2008-05-15 |
| 1427225705 | Rediclinic Us, LLC | Clinic/Center | 6360 Lake Worth Blvd, Fort Worth, TX 76135-3604 | 2008-05-15 |
| 1972770253 | Rediclinic Us, LLC | Clinic/Center | 425 Coit Rd, Plano, TX 75075-5709 | 2008-05-15 |
| 1215104757 | Rediclinic Us, LLC | Clinic/Center | 915 N Town East Blvd, Mesquite, TX 75150-4743 | 2008-05-14 |
| 1821265240 | Rediclinic Us, LLC | Clinic/Center | 15220 Montfort Rd, Dallas, TX 75248-6401 | 2008-05-14 |
| 1083881429 | Rediclinic Us, LLC | Clinic/Center | 1601 W State Highway 114, Grapevine, TX 76051-8651 | 2008-05-14 |
| Street Address |
2795 CHASTAIN MEADOWS PKWY |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932197712 | Kathleen Miraflores | Optometrist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2005-10-06 |
| 1134729148 | Pinang G Balsara | Pharmacist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2020-10-28 |
| 1982228201 | Keeping Focus LLC | Optometrist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2020-06-02 |
| 1053782045 | Jayne Rohling | Pharmacist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2015-10-15 |
| 1134203730 | Wal-mart Stores East, Lp | Technician/Technologist | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2006-10-24 |
| 1912924242 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2795 Chastain Meadows Pkwy, Marietta, GA 30066-3361 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| 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.