Relymd Virtual Health Tn, PLLC
Emergency Medicine in Atlanta, GA. Organization (NPI-2).
NPI number1124889514
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1124889514
- Entity type
- Organization (NPI-2)
- Legal business name
- Relymd Virtual Health Tn, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2024
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208M00000X | Hospitalist | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
5665 New Northside Dr Ste 320Atlanta, GA 30328-5834
Phone 770-874-5400
Mailing address
5665 New Northside Dr Ste 320Atlanta, GA 30328-5834
Phone 770-874-5400
Authorized official
Kim Larsen
Director Of Credentialing
7708745400
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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