| Radiant Family Practice Llc | |
|
1 Technology Pkwy S Norcross GA 30092-2928 | |
| (678) 713-2600 | |
| Not Available |
| Full Name | Radiant Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Technology Pkwy S, Norcross, Georgia |
| Authorized Official Name and Position | Hina Hussain (OWNER) |
| Authorized Official Contact | 4046356117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Family Practice Llc Po Box 671047 Marietta GA 30066-0135 Ph: (404) 635-6117 | Radiant Family Practice Llc 1 Technology Pkwy S Norcross GA 30092-2928 Ph: (678) 713-2600 |
| NPI Number | 1326366154 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5890977326 |
|---|---|
| Medicare Enrollment ID | O20110304000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326366154 | NPI | - | NPPES |
| 003107254A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055063 (Georgia) | Primary |
| Provider Name | Ilya Wolfson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942261441 PECOS PAC ID: 5294724324 Enrollment ID: I20040512000351 |
| Provider Name | Hina Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306881362 PECOS PAC ID: 6507879830 Enrollment ID: I20060803000040 |
| Provider Name | Maria D Bratoeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255681243 PECOS PAC ID: 3274778352 Enrollment ID: I20130320000137 |
| Provider Name | Jeff Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154848182 PECOS PAC ID: 5193085280 Enrollment ID: I20180209002340 |
Lifeline Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3330 Peachtree Corners Cir Ste H, Norcross, GA 30092 Phone: 678-580-0950 Fax: 678-580-0991 | |
Pruitthealth Physicians Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1626 Jeurgens Ct, Norcross, GA 30093 Phone: 770-279-6200 Fax: 770-925-4619 | |
Angelcare Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5180 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 770-446-1555 Fax: 678-646-1969 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 Beaver Ruin Road, Suite 175, Norcross, GA 30071 Phone: 770-441-0444 Fax: 770-449-7962 | |
Johns Creek Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Peachtree Industrial Blvd, Suite 360, Norcross, GA 30071 Phone: 770-441-2300 Fax: 866-910-5954 | |
Care Innovations, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Holcomb Bridge Rd Ste 226, Norcross, GA 30092 Phone: 770-451-7996 Fax: 770-451-7995 | |
Medico Familiar Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5345 Jimmy Carter Blvd, Suite I, Norcross, GA 30093 Phone: 770-409-7338 Fax: 770-409-7339 |