Revitalize Alabama L.L.C
NPI 1942975180 · Family Medicine Physician · Auburn, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revitalize Alabama L.L.C is a Family Medicine Physician organization in Auburn, AL (NPI 1942975180).
Provider details
- NPI number
- 1942975180
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Travis Woodley, President(334) 734-7973
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
4 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
- 2021-08-10
- Last updated
- 2021-10-06
- Certified
- 2021-09-22
Frequently asked questions
- What is Revitalize Alabama L.L.C's NPI number?
- Revitalize Alabama L.L.C's National Provider Identifier (NPI) is 1942975180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revitalize Alabama L.L.C?
- Revitalize Alabama L.L.C is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revitalize Alabama L.L.C located?
- Revitalize Alabama L.L.C's practice location on file with NPPES is 105 1st Street, Auburn, AL 36830-0000.
- What is Revitalize Alabama L.L.C's phone number?
- The practice phone number listed in the NPPES registry for Revitalize Alabama L.L.C is (334) 734-7973.
- Does Revitalize Alabama L.L.C accept Medicare?
- Revitalize Alabama L.L.C 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 Revitalize Alabama L.L.C?
- The authorized official listed on Revitalize Alabama L.L.C's NPPES record is Travis Woodley, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revitalize Alabama L.L.C's NPI active?
- Yes — Revitalize Alabama L.L.C's NPI (1942975180) is active in the NPPES registry as of the last update on 2021-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.