Organization · Type 2 NPI

Re Vivify MD Health and Wellness Center

Family Medicine Physician · Atlanta, GA

NPI number 1023949617 Active

Practice location

898 Oak St SW
Atlanta, GA 30310-1959

Call (678) 850-3509 Map

Fax (678) 850-3509

Mailing address

898 Oak St SW Unit 3425
Atlanta, GA 30310-1974

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Adult Medicine Physician 207QA0505XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Physician Nutrition Specialist (Family Medicine) 207QP0002XNone listed
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1023949617

Re Vivify MD Health and Wellness Center's National Provider Identifier is 1023949617, issued on May 25, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Atlanta, GA. The record was last updated on May 25, 2026.