Revive Wound Care Ga LLC
NPI 1548082274ActiveOrganization· General Practice· Clarkston, GA
General Practice in Clarkston, Georgia, registered in NPPES in October 2024. The authorized official on file is Paul Davis, Manager.
Overview
| NPI | 1548082274 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2024 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Home Health | 251E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|