REDICLINIC US, LLC (NPI# 1467629253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467629253 |
| Entity Type | Organization |
| Organization Name | REDICLINIC US, LLC |
| Other Organization Name | REDICLINIC |
| Practice Address |
1133 E E W Connector Austell GA 30106-1589 |
| Mailing Address |
9 Greenway Plz Suite 2950 Houston TX 77046-0905 |
| Practice Telephone | 8666077334 |
| Mailing Telephone | 8666077334 |
| Mailing Fax Number | 7133584801 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | MR. RICK VANPELT (COO) |
| Authorized Official Telephone | 7135800462 |
| 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 |
1133 E E W CONNECTOR |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326116922 | Rediclinic LLC | Clinic/Center | 1133 E E W Connector, Austell, GA 30106-1589 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| 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). |
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|---|---|---|---|---|
| 1154889665 | Harbor Springs Counseling Services LLC | Clinic/Center | 1790 Mulkey Rd Ste 3a, Austell, GA 30106-1122 | 2019-03-05 |
| 1508332255 | American Currenct Care P.a. | Clinic/Center | 7750 The Blfs Ste 1200w, Austell, GA 30168-7754 | 2018-10-21 |
| 1215190426 | Newborn Clinics of America LLC | Clinic/Center | 1790 Mulkey Road Bldg. 10 Su. 10, Austell, GA 30106 | 2008-07-08 |
| 1538369970 | Cobb Gynecologist 2 LLC | Clinic/Center | 1791 Mulkey Rd Ste 200, Austell, GA 30106-1124 | 2007-07-24 |
| 1326116922 | Rediclinic LLC | Clinic/Center | 1133 E E W Connector, Austell, GA 30106-1589 | 2006-12-01 |
| 1710453469 | Occupational Health Centers of Georgia PC | Clinic/Center | 7750 The Blfs Ste 100, Austell, GA 30168-7754 | 2018-10-21 |
| 1134329576 | South Cobb Ob Gyn 2llc | Clinic/Center | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2007-07-24 |
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| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
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| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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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.