RADIANT WELLNESS CENTER LLC
NPI 1366064214
Clinic/Center in St Petersburg, FL

Q: What is Radiant Wellness Center LLC's NPI number?

The NPI number for Radiant Wellness Center LLC is 1366064214. It was assigned to this organization in the NPPES registry on May 14, 2020.

Q: What is Radiant Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 14, 2020

556 1ST AVE N, ST PETERSBURG, FL 33701(727) 954-5596 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Radiant Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIANT WELLNESS CENTER LLC (NPI 1366064214) is a healthcare organization registered as a clinic/center in St Petersburg, Florida and active in the NPI registry since May 2020. The organization lists Ashley Therese Martin, Owner/dcotor, as its authorized official.

NPPES Registry Identity

NPI1366064214

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameRADIANT WELLNESS CENTER LLC

Location Address556 1ST AVE NSt Petersburg, FL 33701-3702

Mailing Address700 13th Ave SSt Petersburg, FL 33701-5310 · (843) 816-4274

Phone(727) 954-5596

Organization SubpartNo

Authorized OfficialAshley Therese MartinOwner/dcotor · (843) 816-4274

Enumeration DateMay 14, 2020

NPPES CertifiedMay 14, 2020

✔ NPI 1366064214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

556 1ST AVE N, St Petersburg, FL 33701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiant Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Radiant Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ashley Martin, DC

Chiropractic

NPI 1841838620

556 1ST AVE N
St Petersburg, FL 33701

(843) 816-4274

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiant Wellness Center LLC's NPI number?

The NPI number for Radiant Wellness Center LLC is 1366064214. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Radiant Wellness Center LLC located?

Radiant Wellness Center LLC is located at 556 1st Ave N, St Petersburg, FL 33701. The listed phone number is (727) 954-5596.

What is Radiant Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Radiant Wellness Center LLC enrolled in Medicare?

Yes. Radiant Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiant Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Radiant Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Radiant Wellness Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Radiant Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Radiant Wellness Center LLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.