REDICLINIC US LLC (NPI# 1487826111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487826111 |
| Entity Type | Organization |
| Organization Name | REDICLINIC US LLC |
| Other Organization Name | REDICLINIC |
| Practice Address |
270 Walmart Way Dahlonega GA 30533-0824 |
| Mailing Address |
9 Greenway Plz Suite 2950 Houston TX 77046-0905 |
| Practice Telephone | 8666077334 |
| Mailing Telephone | 8666077334 |
| Mailing Fax Number | 7133584801 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | MR. ERIC FOURNET (CFO) |
| Authorized Official Telephone | 7135809468 |
| 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 |
| Street Address |
270 WALMART WAY |
| City | DAHLONEGA |
| State | GA |
| Zip Code | 30533-0824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495150 | Linh T Ta | Optometrist | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2005-08-24 |
| 1427535475 | Cindy L Orr | Pharmacist | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2018-07-23 |
| 1700363751 | Ahved Ghorbani | Pharmacist | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2018-07-23 |
| 1609282821 | Charlotte Cornelison | Pharmacist | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2014-07-08 |
| 1700206984 | Richard Niver | Pharmacist | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2014-04-26 |
| 1609102458 | Chita Eye Associates P.C. | Optometrist | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2009-10-29 |
| 1922198530 | Wal-mart Stores East, Lp | Technician/Technologist | 270 Walmart Way, Dahlonega, GA 30533-0816 | 2006-10-13 |
| 1497851398 | Gabriel Colon | Optometrist | 270 Walmart Way, Dahlonega, GA 30533-0816 | 2006-09-16 |
| 1093732323 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2006-07-16 |
| 1508816505 | Teresa O Snider | Nurse Practitioner | 270 Walmart Way, Dahlonega, GA 30533-0824 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320244 | Brittany Jamison | Speech-Language Pathologist | 180 Horizon Drive, Dahlonega, GA 30533 | 2020-09-14 |
| 1386109718 | Leanna Scoggin | Specialist/Technologist | 50 Hawksnest Dr, Apt. 300, Dahlonega, GA 30533 | 2019-02-11 |
| 1558753665 | Chelsey Park Health & Rehabilitation LLC | Skilled Nursing Facility | 200 Mountain Park Drive, Dahlonega, GA 30533 | 2015-02-26 |
| 1609286574 | Lanier Dental Group, Inc | Clinic/Center | 5458 S Chestatee, Dahlonega, GA 30533 | 2014-05-01 |
| 1265787444 | Lumpkin County Emergency Medical Services | Ambulance | 57a Pine Tree Way, Dahlonega, GA 30533 | 2012-07-13 |
| 1750651170 | Karen Lee Barrett | Nurse Practitioner | 82 College Ln, Dahlonega, GA 30533 | 2012-01-02 |
| 1427333095 | Dahlonega Pediatric and Adolescent Medicine | Pediatrics | 1055 North Grove St., Dahlonega, GA 30533 | 2011-10-14 |
| 1851690259 | Anselm Kwaku Addo | Pharmacist | 566 East Main St, Dahlonega, GA 30533 | 2011-03-24 |
| 1497064810 | The Maher Rehabilitation Institute LLC | Physical Therapist | 155 Sunset Drive, Dahlonega, GA 30533 | 2010-10-04 |
| 1639498926 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 1220 Pecks Mill Road, Dahlonega, GA 30533 | 2010-05-26 |
| Find all providers in zip 30533 | ||||
| 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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| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1518585868 | Robin June Dc, LLC | Clinic/Center | 400 Embassy Row Ste 110, Sandy Springs, GA 30328-5723 | 2020-07-13 |
| 1740808773 | All Test Services | Clinic/Center | 575 Sigman Rd Ne, Conyers, GA 30013-1311 | 2020-07-07 |
| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
| 1073146759 | Transitional Care Clinic LLC | Clinic/Center | 2084 Newnan Crossing Blvd E Ste 300, Newnan, GA 30265-2561 | 2020-02-20 |
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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.