RADIANT PRIME
NPI 1700602364
Family Medicine - Addiction Medicine in Mount Sterling, KY

Q: What is Radiant Prime's NPI number?

The NPI number for Radiant Prime is 1700602364. It was assigned to this organization in the NPPES registry on November 28, 2024. The provider is doing business as Radiant Prime Recovery.

Q: What is Radiant Prime's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Q: When was this NPI record last updated?

The NPPES record for Radiant Prime was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since November 28, 2024CLIA 18D2325370 · Waiver

7075 WADES MILL RD, MOUNT STERLING, KY 40353(813) 384-8050(813) 336-8804 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Radiant Prime NPPES

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

RADIANT PRIME (NPI 1700602364), doing business as Radiant Prime Recovery, is a healthcare organization registered as an addiction medicine in Mount Sterling, Kentucky and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 10, 2027, maintains a secondary practice location in Wimauma, and lists Jessica Nicole Mcglone, Owner & Ceo, as its authorized official.

NPPES Registry Identity

NPI1700602364

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameRADIANT PRIME

Location Address7075 WADES MILL RDMount Sterling, KY 40353-8293

Mailing Address4948 Reflecting Pond CirWimauma, FL 33598-4064 · (813) 384-8050 · Fax (813) 336-8804

Phone(813) 384-8050

Fax(813) 336-8804

Organization SubpartNo

Authorized OfficialJessica Nicole McgloneOwner & Ceo · (813) 384-8050

Enumeration DateNovember 28, 2024

Last NPPES UpdateApril 24, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1700602364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

7075 WADES MILL RD, Mount Sterling, KY 40353

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Other Names 1

Doing Business AsRadiant Prime Recovery

Secondary Practice Location 1

Location 14948 Reflecting Pond CirWimauma, FL 33598-4064 · Phone (813) 384-8050 · Fax (813) 336-8804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2325370

Radiant Prime Recovery · Mount Sterling, KY

Active · expires Jun 10, 2027

CLIA Number18D2325370

Laboratory TypeTreatment Practitioner

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorMs. Jessica N. Mcglone

Laboratory Phone(813) 384-8050

Laboratory LocationRadiant Prime Recovery7075 Wades Mill Rd, Mount Sterling, KY 40353

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Prime's NPI number?

The NPI number for Radiant Prime is 1700602364. It was assigned to this organization in the NPPES registry on November 28, 2024. The provider is doing business as Radiant Prime Recovery.

Where is Radiant Prime located?

Radiant Prime is located at 7075 Wades Mill Rd, Mount Sterling, KY 40353. The listed phone number is (813) 384-8050.

What is Radiant Prime's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Radiant Prime hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2325370) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Radiant Prime was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.