Revive MD
NPI 1700107547 · Obesity Medicine (Obstetrics & Gynecology) Physician · Brentwood, TN
Revive MD is a Obesity Medicine (Obstetrics & Gynecology) Physician organization in Brentwood, TN (NPI 1700107547).
Provider details
- NPI number
- 1700107547
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daphne Lodge, President(615) 690-6600
- License
- 26575 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Other names (DBA / former)
- Doing business as
- Bluesky MD
Registry dates
- Enumerated
- 2010-06-16
- Last updated
- 2010-06-16
Frequently asked questions
- What is Revive MD's NPI number?
- Revive MD's National Provider Identifier (NPI) is 1700107547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive MD?
- Revive MD is classified in the NPPES registry as Obesity Medicine (Obstetrics & Gynecology) Physician (Allopathic & Osteopathic Physicians).
- Where is Revive MD located?
- Revive MD's practice location on file with NPPES is 1804 Williamson Ct, Brentwood, TN 37027-8170.
- What is Revive MD's phone number?
- The practice phone number listed in the NPPES registry for Revive MD is (615) 690-6600.
- Who is the authorized official for Revive MD?
- The authorized official listed on Revive MD's NPPES record is Daphne Lodge, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive MD's NPI active?
- Yes — Revive MD's NPI (1700107547) is active in the NPPES registry as of the last update on 2010-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.