REVIVAL MEDICAL WEIGHT LOSS CLINIC
NPI 1023785714
Preventive Medicine - Obesity Medicine in Greenville, NC

Active since August 30, 2021
2245 STANTONSBURG RD STE A, GREENVILLE, NC 27834(252) 653-5022 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Revival Medical Weight Loss Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVAL MEDICAL WEIGHT LOSS CLINIC (NPI 1023785714) is a healthcare organization registered as an obesity medicine in Greenville, North Carolina and active in the NPI registry since August 2021. The organization lists Amy Nealey Waiwright, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023785714
Entity TypeOrganization
Primary Taxonomy2083B0002X
Legal Business NameREVIVAL MEDICAL WEIGHT LOSS CLINIC
Location Address2245 STANTONSBURG RD STE AGreenville, NC 27834-2868
Mailing Address1508 Military Cutoff Rd Ste 203Wilmington, NC 28403-5730 · (910) 679-4312
Organization SubpartNo
Authorized OfficialAmy Nealey WaiwrightCeo · (910) 679-4312
Enumeration DateAugust 30, 2021
NPPES CertifiedJanuary 15, 2021
NPI 1023785714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083B0002X
Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

2245 STANTONSBURG RD STE A, Greenville, NC 27834

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
2245 STANTONSBURG RD STE A
GREENVILLE, NC 27834
Physician Assistant
2245 STANTONSBURG RD STE A
GREENVILLE, NC 27834
Physical Medicine & Rehabilitation
2245 STANTONSBURG RD STE A
GREENVILLE, NC 27834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023785714, enumerated as an "organization" on August 30, 2021.

The provider is located at 2245 STANTONSBURG RD STE A GREENVILLE, NC 27834 and the phone number is (252) 653-5022.

Preventive Medicine with taxonomy code 2083B0002X and a focus in Obesity Medicine.