Revivify Medical Supply LLC
NPI 1306686274 · Durable Medical Equipment & Medical Supplies · Stockbridge, GA
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revivify Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Stockbridge, GA (NPI 1306686274).
Provider details
- NPI number
- 1306686274
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kristina Adah, Owner(504) 612-4202
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Frequently asked questions
- What is Revivify Medical Supply LLC's NPI number?
- Revivify Medical Supply LLC's National Provider Identifier (NPI) is 1306686274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivify Medical Supply LLC?
- Revivify Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Revivify Medical Supply LLC located?
- Revivify Medical Supply LLC's practice location on file with NPPES is 3200 N Henry Blvd Ste C, Stockbridge, GA 30281-4666.
- What is Revivify Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Revivify Medical Supply LLC is (504) 612-4202.
- Does Revivify Medical Supply LLC accept Medicare?
- Revivify Medical Supply LLC 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 Revivify Medical Supply LLC?
- The authorized official listed on Revivify Medical Supply LLC's NPPES record is Kristina Adah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivify Medical Supply LLC's NPI active?
- Yes — Revivify Medical Supply LLC's NPI (1306686274) is active in the NPPES registry as of the last update on 2024-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.