Organization Active NPI

Southern Light Osteopathic Wellness & Healthcare Associates, Inc.

Doing business as Redicare

  • Medical Specialty Clinic/Center
  • Richmond Hill, GA
National Provider Identifier
1235204603
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
042536 Issued in GA
Legal business name
SOUTHERN LIGHT OSTEOPATHIC WELLNESS & HEALTHCARE ASSOCIATES, INC.
Doing business as
Redicare
Practice address
4164 Coastal Hwy US 17 S
Richmond Hill, GA 31324
Phone
(912) 756-7014
Fax
(912) 756-7037
NPI assigned
Nov 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Thomas Raymond Byrnes Jr., D.O.
Title
Medical Director
Phone
(972) 756-7014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 042536 GA Primary
Urgent Care Clinic/Center 261QU0200X 042536 GA

Addresses

Primary practice location

4164 Coastal Hwy US 17 S
Richmond Hill, GA 31324

Mailing address

PO Box 1979
Richmond Hill, GA 31324-1979
Phone (912) 756-7014

Other names 1

  • REDICARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235204603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1979",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241979",
            "telephone_number": "912-756-7014",
            "fax_number": "912-756-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 COASTAL HWY US 17 S",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-756-7014",
            "fax_number": "912-756-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIGHT OSTEOPATHIC WELLNESS & HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-756-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "042536",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "042536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDICARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.