Healthcare Provider Details

I. General information

NPI: 1770417875
Provider Name (Legal Business Name): RADIANT FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 2ND AVE E
ONEONTA AL
35121-2818
US

IV. Provider business mailing address

5812 CARRINGTON LAKE PKWY
TRUSSVILLE AL
35173-2890
US

V. Phone/Fax

Practice location:
  • Phone: 205-860-7421
  • Fax: 205-860-7428
Mailing address:
  • Phone: 205-860-7421
  • Fax: 205-860-7428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAYLA SMITH
Title or Position: CEO
Credential: MD
Phone: 256-606-1164