Revive Wellness of Kennesaw LLC
NPI 1033049390 · General Practice Physician · Kennesaw, GA
Revive Wellness of Kennesaw LLC is a General Practice Physician organization in Kennesaw, GA (NPI 1033049390).
Provider details
- NPI number
- 1033049390
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julia Everheart, Office Manager(470) 370-9280
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-20
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Revive Wellness of Kennesaw LLC's NPI number?
- Revive Wellness of Kennesaw LLC's National Provider Identifier (NPI) is 1033049390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness of Kennesaw LLC?
- Revive Wellness of Kennesaw LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Wellness of Kennesaw LLC located?
- Revive Wellness of Kennesaw LLC's practice location on file with NPPES is 2819 Dallas St Nw, Kennesaw, GA 30144-2705.
- What is Revive Wellness of Kennesaw LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness of Kennesaw LLC is (770) 401-6686.
- Who is the authorized official for Revive Wellness of Kennesaw LLC?
- The authorized official listed on Revive Wellness of Kennesaw LLC's NPPES record is Julia Everheart, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness of Kennesaw LLC's NPI active?
- Yes — Revive Wellness of Kennesaw LLC's NPI (1033049390) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.