OrganizationActive
Revive Rx
NPI 1104608009 · Prosthetic/Orthotic Supplier · Jonesboro, GA
Revive Rx is a Prosthetic/Orthotic Supplier organization in Jonesboro, GA (NPI 1104608009).
Provider details
- NPI number
- 1104608009
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Krystal Dublin, Ceo(770) 946-6976
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1252 Todiway Ct
Jonesboro, GA 30238-6546
Phone: (770) 946-6976
Street-level locationGet directions
Mailing address
154 Rainbow Way Unit 257
Fayetteville, GA 30214-3994
Other names (DBA / former)
- Other name
- N/A
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Frequently asked questions
- What is Revive Rx's NPI number?
- Revive Rx's National Provider Identifier (NPI) is 1104608009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Rx?
- Revive Rx is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Revive Rx located?
- Revive Rx's practice location on file with NPPES is 1252 Todiway Ct, Jonesboro, GA 30238-6546.
- What is Revive Rx's phone number?
- The practice phone number listed in the NPPES registry for Revive Rx is (770) 946-6976.
- Who is the authorized official for Revive Rx?
- The authorized official listed on Revive Rx's NPPES record is Krystal Dublin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Rx's NPI active?
- Yes — Revive Rx's NPI (1104608009) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.