Relymd Virtual Health Ga, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

RELYMD VIRTUAL HEALTH GA, LLC

Practice address

5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834

Phone

(770) 874-5400

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Larsen

Title

Director of Credentialing

Phone

(770) 874-5400

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, LA, CO, MI, FL, MA, NY, GA, VA, UT, TX, ID, CA, NJ, HI, SC, AZ, NH18 enrollments

Enrollment records 18

Locations

Practitioners 43

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.

• Constantin Chikando, MD

  • General Practice Physician
  • Atlanta, GA
  • NPI 1881937001

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Yves-Dany Accilien, MD

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1720571920

  GA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Timothy B Beatty, D.O.

  • Emergency Medicine Physician
  • Walterboro, SC
  • NPI 1639178064
  Medicare reassignment Care Compare group NPD
• Matthew William Berrios, D.O.

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1689014920
  Medicare reassignment Care Compare group NPD
• Ajeet Dube, M.D.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1871703132
  Medicare reassignment Care Compare group NPD
• Stephen Nicolas Dunay, MD, MHS

  • Interventional Pain Medicine Physician
  • Totowa, NJ
  • NPI 1336487834

  Emergency Medicine, FL

  Medicare reassignment Care Compare group NPD
• Ajay V. Jetley, MD

  • Emergency Medicine Physician
  • Clifton, NJ
  • NPI 1023243623
  Medicare reassignment Care Compare group NPD
• Wendy W Lin, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1558357723
  Medicare reassignment Care Compare group NPD
• Stephen J. Macdade

  • Emergency Medicine Physician
  • Boulder, CO
  • NPI 1891012688
  Medicare reassignment Care Compare group NPD
• Timothy James Meyers

  • Emergency Medicine Physician
  • Boulder, CO
  • NPI 1831176908
  Medicare reassignment Care Compare group NPD
• Seth Portnoy, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1225176209
  Medicare reassignment Care Compare group NPD
• Furhan Rashid Qureshi, MD

  • Internal Medicine Physician
  • Sterling, VA
  • NPI 1306194667

  Emergency Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1386414720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285834",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285834",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELYMD VIRTUAL HEALTH GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "770-874-5400"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Haven Healthcare
• Reliant Health Services LLC
• Erin Ashley Rellinger, AU.D.
• Rachna A. Relwani, MD
• Relymd Virtual Health DC, LLC
• Relymd Virtual Health TN, PLLC
• Relymd Virtual Health TX, PA
• Rem Georgia I LLC
• Richard Vladimir Remigailo Jr., D.M.D
• Richard Vladimir Remigailo, M.D.

• Emergency Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.