REVIVAL MEDICAL GROUP NPI 1184381469

NPI Information

  • NPI: 1184381469
  • Provider Name: REVIVAL MEDICAL GROUP
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Organization
  • Address: 1508 MILITARY CUTOFF RD STE 203
    WILMINGTON, NC
    ZIP 28403
  • Phone: (910) 679-4312

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NPI Details

REVIVAL MEDICAL GROUP is a public health and general preventive medicine preventive medicine in Wilmington, NC. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. REVIVAL MEDICAL GROUP NPI is 1184381469. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1508 MILITARY CUTOFF RD STE 203
WILMINGTON, NC
ZIP 28403-730
Phone: (910) 679-4312

The provider's authorized official is Amy Nealey .
The authorized official title is Director and has the following contact phone number (910) 679-4312.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 11/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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