Organization Active NPI

Reliance Medical Center Inc

  • Primary Care Clinic/Center
  • Suwanee, GA
National Provider Identifier
1740021302
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RELIANCE MEDICAL CENTER INC
Practice address
335 Peachtree Industrial Blvd Ste 2204
Suwanee, GA 30024-3721
Phone
(404) 537-4409
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Gurleen Kaur, MDNPI 1447529441
Title
Ceo
Phone
(708) 860-8111

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

335 Peachtree Industrial Blvd Ste 2204
Suwanee, GA 30024-3721

Mailing address

4474 Valtek CT
Suwanee, GA 30024-6209
Phone (708) 860-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723004778 GA Part B Supplier - Clinic/Group Practice 2365988508 Receives reassigned benefits from 2 practitioners
Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Locations

335 Peachtree Industrial Blvd
Ste 2204
Suwanee, GA 30024
Phone (404) 537-4409

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCFDD

Practitioners & affiliated clinicians

Practitioners 2

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1740021302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 VALTEK CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246209",
            "telephone_number": "708-860-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PEACHTREE INDUSTRIAL BLVD STE 2204",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243721",
            "telephone_number": "404-537-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "GURLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-860-8111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

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