Revival Psychiatry
NPI 1073285987 · Psychiatric/Mental Health Nurse Practitioner · Athens, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revival Psychiatry is a Psychiatric/Mental Health Nurse Practitioner organization in Athens, AL (NPI 1073285987).
Provider details
- NPI number
- 1073285987
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jacob Scott, Owner(256) 431-6469
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
- 2021-09-29
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Frequently asked questions
- What is Revival Psychiatry's NPI number?
- Revival Psychiatry's National Provider Identifier (NPI) is 1073285987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Psychiatry?
- Revival Psychiatry is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revival Psychiatry located?
- Revival Psychiatry's practice location on file with NPPES is 15884 E Limestone Rd, Athens, AL 35613-7522.
- What is Revival Psychiatry's phone number?
- The practice phone number listed in the NPPES registry for Revival Psychiatry is (256) 431-6469.
- Does Revival Psychiatry accept Medicare?
- Revival Psychiatry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revival Psychiatry?
- The authorized official listed on Revival Psychiatry's NPPES record is Jacob Scott, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Psychiatry's NPI active?
- Yes — Revival Psychiatry's NPI (1073285987) is active in the NPPES registry as of the last update on 2021-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.