Revival Pain Management Inc
NPI 1801813712 · Interventional Pain Medicine Physician · Elkin, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revival Pain Management Inc is a Interventional Pain Medicine Physician organization in Elkin, NC (NPI 1801813712).
Provider details
- NPI number
- 1801813712
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emidio Novembre, Practice Owner(336) 835-5330
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 905 Rockford St Lowr LevelMount Airy, NC 27030-5323Phone: (336) 835-5330Fax: (336) 835-5337
- 1909 W Park DrNorth Wilkesboro, NC 28659-3564Phone: (336) 835-5330Fax: (336) 835-5337
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Revival Pain Management Inc's NPI number?
- Revival Pain Management Inc's National Provider Identifier (NPI) is 1801813712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revival Pain Management Inc?
- Revival Pain Management Inc is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revival Pain Management Inc located?
- Revival Pain Management Inc's practice location on file with NPPES is 1925 N Bridge St Ste 101, Elkin, NC 28621-2105.
- What is Revival Pain Management Inc's phone number?
- The practice phone number listed in the NPPES registry for Revival Pain Management Inc is (336) 835-5330.
- Does Revival Pain Management Inc accept Medicare?
- Revival Pain Management Inc 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 Revival Pain Management Inc?
- The authorized official listed on Revival Pain Management Inc's NPPES record is Emidio Novembre, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revival Pain Management Inc's NPI active?
- Yes — Revival Pain Management Inc's NPI (1801813712) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.