Revive Wellness and Aesthetics LLC
NPI 1669291308 · Primary Care Clinic/Center · Indianola, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Wellness and Aesthetics LLC is a Primary Care Clinic/Center organization in Indianola, MS (NPI 1669291308).
Provider details
- NPI number
- 1669291308
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Emily Aust, Cfnp/Owner(662) 445-2213
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- 2024-10-09
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Revive Wellness and Aesthetics LLC's NPI number?
- Revive Wellness and Aesthetics LLC's National Provider Identifier (NPI) is 1669291308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Wellness and Aesthetics LLC?
- Revive Wellness and Aesthetics LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Wellness and Aesthetics LLC located?
- Revive Wellness and Aesthetics LLC's practice location on file with NPPES is 110a S Mlk Jr Dr, Indianola, MS 38751-2622.
- What is Revive Wellness and Aesthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Wellness and Aesthetics LLC is (662) 445-2213.
- Does Revive Wellness and Aesthetics LLC accept Medicare?
- Revive Wellness and Aesthetics 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 Revive Wellness and Aesthetics LLC?
- The authorized official listed on Revive Wellness and Aesthetics LLC's NPPES record is Emily Aust, Cfnp/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Wellness and Aesthetics LLC's NPI active?
- Yes — Revive Wellness and Aesthetics LLC's NPI (1669291308) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.