Revival Functional Nutrition PLLC
NPI 1477375327 · Chiropractor · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revival Functional Nutrition PLLC is a Chiropractor organization in Charlotte, NC (NPI 1477375327).
Provider details
- NPI number
- 1477375327
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Brian Pries, Doctor/Owner(980) 470-3606
Specialties & taxonomies
Chiropractic Providers
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
- 2024-10-30
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Frequently asked questions
- What is Revival Functional Nutrition PLLC's NPI number?
- Revival Functional Nutrition PLLC's National Provider Identifier (NPI) is 1477375327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Functional Nutrition PLLC?
- Revival Functional Nutrition PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Revival Functional Nutrition PLLC located?
- Revival Functional Nutrition PLLC's practice location on file with NPPES is 5527 Monroe Rd, Charlotte, NC 28212-5503.
- What is Revival Functional Nutrition PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Functional Nutrition PLLC is (980) 324-3363.
- Does Revival Functional Nutrition PLLC accept Medicare?
- Revival Functional Nutrition PLLC 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 Functional Nutrition PLLC?
- The authorized official listed on Revival Functional Nutrition PLLC's NPPES record is Brian Pries, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Functional Nutrition PLLC's NPI active?
- Yes — Revival Functional Nutrition PLLC's NPI (1477375327) is active in the NPPES registry as of the last update on 2025-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.