Revive Hydration and Functional Health LLC
NPI 1558128314 · Medical Specialty Clinic/Center · Douglas, GA
Revive Hydration and Functional Health LLC is a Medical Specialty Clinic/Center organization in Douglas, GA (NPI 1558128314).
Provider details
- NPI number
- 1558128314
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bobby Guess, Owner(912) 720-5450
Specialties & taxonomies
Ambulatory Health Care Facilities
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
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
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Frequently asked questions
- What is Revive Hydration and Functional Health LLC's NPI number?
- Revive Hydration and Functional Health LLC's National Provider Identifier (NPI) is 1558128314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Hydration and Functional Health LLC?
- Revive Hydration and Functional Health LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Hydration and Functional Health LLC located?
- Revive Hydration and Functional Health LLC's practice location on file with NPPES is 1150 Ward Street Ext W Ste B1, Douglas, GA 31533-1913.
- What is Revive Hydration and Functional Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Hydration and Functional Health LLC is (912) 720-5450.
- Who is the authorized official for Revive Hydration and Functional Health LLC?
- The authorized official listed on Revive Hydration and Functional Health LLC's NPPES record is Bobby Guess, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Hydration and Functional Health LLC's NPI active?
- Yes — Revive Hydration and Functional Health LLC's NPI (1558128314) is active in the NPPES registry as of the last update on 2024-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.