NPI age
12 years
Enumerated 2013-11-04
● Active Type 2 · Organization
Radiance Light Systems, Llc
Radiance Light Systems, Llc is 1 of 337 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cissell
Owner
Last NPPES update
2013-11-04
Source: monthly bulk 2026-05
How this organization compares
Across 337 active clinic/center providers in Georgia.
NPI age
12 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-11Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2145 Roswell Rd
Marietta, GA 300620821
Mailing address
2145 Roswell Rd
Marietta, GA 30062
Authorized official
Jon Michael Cissell
Owner
📞 4048191432
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Supriti Balyan, DDS Dentist NPI 1073838561
- Juan Rodriguez, DC Chiropractor NPI 1851511513
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.