MEDICARE: RA HEALTH GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1245186030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RA HEALTH GROUP LLC

Provider Business Mailing Address
First Line	:	2750 CREEKSIDE MANOR DR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-1714
Country	:	US
Telephone Number	:	470-231-5246
Fax Number	:	470-280-9380

Provider Business Practice Location Address
First Line	:	2750 CREEKSIDE MANOR DR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-1714
Country	:	US
Telephone Number	:	470-231-5246
Fax Number	:	470-280-9380

Authorized Official
Title or Position	:	OWNER
Name	:	LOUISA MENSAH
Credential	:
Telephone Number	:	470-231-5246

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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