Revived Medical Community Clinic
NPI 1306653688 · Clinic/Center · Florence, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revived Medical Community Clinic is a Clinic/Center organization in Florence, SC (NPI 1306653688).
Provider details
- NPI number
- 1306653688
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lavanda Martin, Ceo,owner(843) 799-2649
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-12-11
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Frequently asked questions
- What is Revived Medical Community Clinic's NPI number?
- Revived Medical Community Clinic's National Provider Identifier (NPI) is 1306653688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Medical Community Clinic?
- Revived Medical Community Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revived Medical Community Clinic located?
- Revived Medical Community Clinic's practice location on file with NPPES is 2724 W Palmetto St Ste 5, Florence, SC 29501-4909.
- What is Revived Medical Community Clinic's phone number?
- The practice phone number listed in the NPPES registry for Revived Medical Community Clinic is (843) 799-2649.
- Does Revived Medical Community Clinic accept Medicare?
- Revived Medical Community Clinic 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 Revived Medical Community Clinic?
- The authorized official listed on Revived Medical Community Clinic's NPPES record is Lavanda Martin, Ceo,owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Medical Community Clinic's NPI active?
- Yes — Revived Medical Community Clinic's NPI (1306653688) is active in the NPPES registry as of the last update on 2025-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.