OrganizationActive
Revival Medical Group
NPI 1184381469 · Public Health & General Preventive Medicine Physician · Wilmington, NC
Provider details
- NPI number
- 1184381469
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Nealey, Director(910) 679-4312
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
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
1508 Military Cutoff Rd Ste 203
Wilmington, NC 28403-5730
Phone: (910) 679-4312
Street-level locationGet directions
Mailing address
1508 Military Cutoff Rd Ste 203
Wilmington, NC 28403-5730
Registry dates
- Enumerated
- 2021-11-22
- Last updated
- 2021-11-22
- Certified
- 2021-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.