Revival Wound Specialists LLC
NPI 1689531709 · Nurse Practitioner · Perry, GA
Revival Wound Specialists LLC is a Nurse Practitioner organization in Perry, GA (NPI 1689531709).
Provider details
- NPI number
- 1689531709
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dat Le, Owner(470) 979-7018
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-01-09
- Last updated
- 2026-01-09
- Certified
- 2026-01-08
Frequently asked questions
- What is Revival Wound Specialists LLC's NPI number?
- Revival Wound Specialists LLC's National Provider Identifier (NPI) is 1689531709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Wound Specialists LLC?
- Revival Wound Specialists LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revival Wound Specialists LLC located?
- Revival Wound Specialists LLC's practice location on file with NPPES is 302 Bermuda Rdg, Perry, GA 31069-8756.
- What is Revival Wound Specialists LLC's phone number?
- The practice phone number listed in the NPPES registry for Revival Wound Specialists LLC is (470) 979-7018.
- Who is the authorized official for Revival Wound Specialists LLC?
- The authorized official listed on Revival Wound Specialists LLC's NPPES record is Dat Le, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Wound Specialists LLC's NPI active?
- Yes — Revival Wound Specialists LLC's NPI (1689531709) is active in the NPPES registry as of the last update on 2026-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.