REVIDA RECOVERY CENTERS, PC
NPI 1013483486
Family Medicine - Addiction Medicine in Abingdon, VA
NPI Status: Active since October 23, 2018
Contact Information
300 VALLEY ST NE
ABINGDON, VA
ZIP 24210
Phone: (276) 206-8197
- Organization
- Family Medicine
- Addiction Medicine
- Accepts Insurance
- CLIA Number: 44D2268468
- CLIA Cert. Type: Other - OBOT
- CLIA Exp. Date: 09-12-2026
About REVIDA RECOVERY CENTERS, PC
This page provides the complete NPI Profile along with additional information for Revida Recovery Centers, Pc, a provider established in Abingdon, Virginia operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1013483486 assigned on October 2018. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated one year ago. Revida Recovery Centers, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Matthew Thomas Do (Ceo)
- NPI
- 1013483486
- Provider Name
- REVIDA RECOVERY CENTERS, PC
- Entity Type
- Organization
- Location Address
- 300 VALLEY ST NE ABINGDON, VA 24210
- Location Phone
- (276) 206-8197
- Mailing Address
- 3322 W END AVE STE 350 NASHVILLE, TN 37203
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2018
- Last Update Date
- 09-08-2025
- Code Navigator
Location Map
Secondary Locations
- 198 Ross Carter Blvd
Duffield, VA 24244
(276) 690-7161 - 2911 Essary Dr Ste 200
Knoxville, TN 37918
(865) 371-8101 - 712 Professional Plaza Dr
Greeneville, TN 37745
(423) 820-0432 - 106 Administration Rd Ste 3
Oak Ridge, TN 37830
(865) 276-6212 - 4140 Thornton Taylor Pkwy
Fayetteville, TN 37334
(931) 434-8109 - 161 Mose Dr
Sparta, TN 38583
(931) 222-0139 - 127 Ledford Mill Rd
Tullahoma, TN 37388
(931) 841-3311 - 5864 Highway 153 Ste 112
Hixson, TN 37343
(423) 243-3342 - 330 Heritage Blvd
Newport, TN 37821
(423) 623-7043 - 255 Holston Rd
Wytheville, VA 24382
(276) 227-0206 - 230 Bowman St Ste C
Morristown, TN 37813
(423) 586-3249 - 2001 Highland Ave
Knoxville, TN 37916
(865) 633-0353 - 3114 Browns Mill Rd
Johnson City, TN 37604
(423) 631-0432
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoice) + Vision + Adult Dental - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013483486 | MEDICAID (05) | VA | |
| Q045064 | MEDICAID (05) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2268468
- Facility Type
- Other - OBOT
- Certificate Effective Date
- September 13, 2024
- Certificate Expiration Date
- September 12, 2026
- Laboratory Director
- RANDY DURBIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Revida Recovery Centers, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for REVIDA RECOVERY CENTERS, PC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013483486, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
ABINGDON, VA 24210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013483486, enumerated as an "organization" on October 23, 2018.
The provider is located at 300 VALLEY ST NE ABINGDON, VA 24210 and the phone number is (276) 206-8197.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
