Revive Wound Care Ga LLC
NPI 1548082274 · General Practice Physician · Clarkston, GA
Revive Wound Care Ga LLC is a General Practice Physician organization in Clarkston, GA (NPI 1548082274).
Provider details
- NPI number
- 1548082274
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Davis, Manager(951) 760-6216
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Home Health Agency251E00000X
Agencies
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
- 2024-10-24
- Last updated
- 2024-10-24
- Certified
- 2024-10-17
Frequently asked questions
- What is Revive Wound Care Ga LLC's NPI number?
- Revive Wound Care Ga LLC's National Provider Identifier (NPI) is 1548082274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wound Care Ga LLC?
- Revive Wound Care Ga LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Wound Care Ga LLC located?
- Revive Wound Care Ga LLC's practice location on file with NPPES is 980 Rowland St, Clarkston, GA 30021.
- What is Revive Wound Care Ga LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Wound Care Ga LLC is (951) 760-6216.
- Who is the authorized official for Revive Wound Care Ga LLC?
- The authorized official listed on Revive Wound Care Ga LLC's NPPES record is Paul Davis, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wound Care Ga LLC's NPI active?
- Yes — Revive Wound Care Ga LLC's NPI (1548082274) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.