OrganizationActive
Revived Medical Spa LLC
NPI 1538837737 · Clinic/Center · Holly Springs, GA
Revived Medical Spa LLC is a Clinic/Center organization in Holly Springs, GA (NPI 1538837737).
Provider details
- NPI number
- 1538837737
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tarsha Kennedy, Co-Owner(678) 559-2301
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 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
350 Hillgrove Dr
Holly Springs, GA 30114-8601
Phone: (404) 551-6686
Approximate (ZIP-level) locationGet directions
Mailing address
350 Hillgrove Dr
Holly Springs, GA 30114-8601
Registry dates
- Enumerated
- 2021-09-01
- Last updated
- 2021-09-01
- Certified
- 2021-09-01
Frequently asked questions
- What is Revived Medical Spa LLC's NPI number?
- Revived Medical Spa LLC's National Provider Identifier (NPI) is 1538837737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Medical Spa LLC?
- Revived Medical Spa LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revived Medical Spa LLC located?
- Revived Medical Spa LLC's practice location on file with NPPES is 350 Hillgrove Dr, Holly Springs, GA 30114-8601.
- What is Revived Medical Spa LLC's phone number?
- The practice phone number listed in the NPPES registry for Revived Medical Spa LLC is (404) 551-6686.
- Who is the authorized official for Revived Medical Spa LLC?
- The authorized official listed on Revived Medical Spa LLC's NPPES record is Tarsha Kennedy, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Medical Spa LLC's NPI active?
- Yes — Revived Medical Spa LLC's NPI (1538837737) is active in the NPPES registry as of the last update on 2021-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.