Radiant Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

055063 Issued in GA

Legal business name

RADIANT FAMILY PRACTICE LLC

Practice address

1 Technology Pkwy S
Norcross, GA 30092-2928

Phone

(678) 713-2600

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hina Hussain, M.D.NPI 1306881362

Title

Owner

Phone

(404) 635-6117

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hina Hussain, MD

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1306881362
  Medicare reassignment Care Compare group Authorized official
• Starr Patrice Dickerson, FNP-BC

  • Family Nurse Practitioner
  • Smyrna, GA
  • NPI 1790398790
  Medicare reassignment Care Compare group NPD
• Laquita Charle Johnson, NP

  • Family Nurse Practitioner
  • Bonaire, GA
  • NPI 1194459099
  Medicare reassignment Care Compare group NPD
• Maria Bratoeva

  • Family Nurse Practitioner
  • Augusta, GA
  • NPI 1255681243
  Medicare reassignment Care Compare group
• Ilya Wolfson, MD

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1942261441
  Medicare reassignment Care Compare group
• Joy Rosconi, PA-C

  • Medical Physician Assistant
  • Marietta, GA
  • NPI 1255775656
  Medicare reassignment
• Jawauna Smith, PA-C

  • Medical Physician Assistant
  • Marietta, GA
  • NPI 1972925709
  Medicare reassignment

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1326366154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671047",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300660135",
            "telephone_number": "404-635-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PKWY S",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922928",
            "telephone_number": "678-713-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Sandy Plains Rd Ste 200",
            "address_2": "Administrative Billing Office",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300664291",
            "country_code": "US",
            "telephone_number": "404-635-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742640",
            "country_code": "US",
            "telephone_number": "770-991-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIANT FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "HINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-635-6117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "055063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107254A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purevue Vision Care, LLC
• Serenity Quant
• Kyle Malik Quarles
• Quik Draw Incorporated
• Ra Home Angels Corp
• Divya Ragala-Brooks
• Rainbow Autism Centers of Georgia, LLC
• Rainbow Senior Healthcare LLC
• Robert Alexander Rait
• Pallavi T Rakesh, DMD

• Family Medicine Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.