Organization Active NPI

Relymd Virtual Health Regional, PC

  • Emergency Medicine Physician
  • Morrisville, NC
National Provider Identifier
1134912124
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
RELYMD VIRTUAL HEALTH REGIONAL, PC
Practice address
2803 Slater Rd Ste 205
Morrisville, NC 27560-8463
Phone
(770) 874-5400
NPI assigned
May 23, 2025
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Larsen
Title
VP, Credetentialing
Phone
(770) 874-5400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

2803 Slater Rd Ste 205
Morrisville, NC 27560-8463

Mailing address

2803 Slater Rd Ste 205
Morrisville, NC 27560-8463
Phone (770) 874-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, FL, CO, PA, NJ, CA, UT, HI, VA, GA, ID, SC, NH, AZ15 enrollments

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
O20250728001360 MA Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Sudbury, MA
O20250728002186 NY Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Hammondsport, NY
O20250729004414 FL Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 7 practitioners
Practice locations: Boca Raton, FL; Thonotosassa, FL; Parkland, FL; Miami, FL; Gulf Breeze, FL; Jacksonville Beach, FL
O20250801001421 CO Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 3 practitioners
Practice locations: Loveland, CO; Denver, CO; Boulder, CO
O20250804001322 PA Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20250804001661 NJ Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Cresskill, NJ
O20250804002718 CA Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 4 practitioners
Practice locations: Calabasas, CA; Lemon Grove, CA; San Francisco, CA
O20250805001390 UT Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clara, UT
O20250812001916 HI Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 6 practitioners
Practice locations: Honolulu, HI; Mililani, HI; Kaneohe, HI
O20250815000771 VA Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 2 practitioners
Practice locations: Ashburn, VA; Leesburg, VA
O20250826002974 GA Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA; Decatur, GA; Kennesaw, GA; Marietta, GA; Roswell, GA; Smyrna, GA
O20251003003275 ID Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Hailey, ID
O20251009004674 SC Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Island, SC
O20260422000509 NH Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH
O20260424001124 AZ Part B Supplier - Clinic/Group Practice 1052828878 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, AZ

National Provider Directory

National Provider Directory

Locations

22400 Barton Rd
#21301
Grand Terrace, CA 92313
Phone (949) 201-9995

2803 Slater Rd
Ste 205
Morrisville, NC 27560

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1134912124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 SLATER RD STE 205",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608463",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 SLATER RD STE 205",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608463",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELYMD VIRTUAL HEALTH REGIONAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "VP, CREDETENTIALING",
        "authorized_official_telephone_number": "770-874-5400"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.