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

Q: What is Revival Medical Weight Loss Clinic's NPI number?

The NPI number for Revival Medical Weight Loss Clinic is 1023785714. It was assigned to this organization in the NPPES registry on August 30, 2021.

Q: What is Revival Medical Weight Loss Clinic's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Obesity Medicine, with taxonomy code 2083B0002X.

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: September 06, 2026.

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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

Phone(252) 653-5022

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

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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.

MR. HARRY GILES CROSS PA-C

Physician Assistant

2245 STANTONSBURG RD STE A
GREENVILLE, NC 27834

Pitt County (252) 215-9294

EASTERN PHYSICAL MEDICINE & REHABILITATION, LLC

Physical Medicine & Rehabilitation

2245 STANTONSBURG RD STE A
GREENVILLE, NC 27834

Pitt County (252) 215-9294

DR. BILLY RAY SMITH MD

Physical Medicine & Rehabilitation

2245 STANTONSBURG RD STE A
GREENVILLE, NC 27834

Pitt County (252) 215-9294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revival Medical Weight Loss Clinic's NPI number?

The NPI number for Revival Medical Weight Loss Clinic is 1023785714. It was assigned to this organization in the NPPES registry on August 30, 2021.

Where is Revival Medical Weight Loss Clinic located?

Revival Medical Weight Loss Clinic is located at 2245 Stantonsburg Rd Ste A, Greenville, NC 27834. The listed phone number is (252) 653-5022.

What is Revival Medical Weight Loss Clinic's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Obesity Medicine, with taxonomy code 2083B0002X.

When was this NPI record last updated?

The NPPES record for Revival Medical Weight Loss Clinic was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.