Organization Active NPI

Relentless Health Specialists LLC

  • Health Service Clinic/Center
  • Douglasville, GA
National Provider Identifier
1366294837
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
RELENTLESS HEALTH SPECIALISTS LLC
Practice address
3133 Golf Ridge Blvd Ste 303
Douglasville, GA 30135-1995
Phone
(678) 408-7363
Fax
(877) 940-4180
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Alicia Samuel, CCMANPI 1144072778
Title
Lead Specialist
Phone
(678) 408-7363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3133 Golf Ridge Blvd Ste 303
Douglasville, GA 30135-1995

Mailing address

3133 Golf Ridge Blvd Ste 303
Douglasville, GA 30135-1995
Phone (678) 408-7363

National Provider Directory

National Provider Directory

Locations

3133 Golf Ridge Blvd
Ste 303
Douglasville, GA 30135
Phone (678) 408-7363

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1366294837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 GOLF RIDGE BLVD STE 303",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351995",
            "telephone_number": "678-408-7363",
            "fax_number": "877-940-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 GOLF RIDGE BLVD STE 303",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351995",
            "telephone_number": "678-408-7363",
            "fax_number": "877-940-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELENTLESS HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LEAD SPECIALIST",
        "authorized_official_telephone_number": "678-408-7363",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.