Organization · Type 2 NPI

Radiant Prime

Addiction Medicine (Family Medicine) Physician · Mount Sterling, KY

NPI number 1700602364 Active

Practice location

7075 Wades Mill Rd
Mount Sterling, KY 40353-8293

Call (813) 384-8050 Map

Fax (813) 336-8804

Mailing address

4948 Reflecting Pond Cir
Wimauma, FL 33598-4064

Other practice locations

4948 Reflecting Pond Cir, Wimauma, FL 33598-4064 · (813) 384-8050

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

NPI record

NPI: 1700602364
Entity type: Organization (Type 2)
Issued: Nov 28, 2024
Last updated: Apr 24, 2025
Status: Active

Other names

<unavail>
Radiant Prime Recovery · doing business as
Radiant Prime Recovery · doing business as

Authorized official

Mrs. Jessica Nicole McGlone, APRN
Owner & CEO
(813) 384-8050

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1700602364

Radiant Prime's National Provider Identifier is 1700602364, issued on Nov 28, 2024. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Mount Sterling, KY. The record was last updated on Apr 24, 2025.