RE VIVIFY MD HEALTH AND WELLNESS CENTER
NPI 1023949617
Family Medicine in Atlanta, GA

Active since May 25, 2026
898 OAK ST SW, ATLANTA, GA 30310(678) 850-3509(678) 850-3509 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Re Vivify Md Health And Wellness Center NPPES

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

RE VIVIFY MD HEALTH AND WELLNESS CENTER (NPI 1023949617) is a healthcare organization registered as a family medicine in Atlanta, Georgia and active in the NPI registry since May 2026. The organization lists Nijah Burris, Family And Aesthetic Medicine, as its authorized official.

NPPES Registry Identity

NPI1023949617
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRE VIVIFY MD HEALTH AND WELLNESS CENTER
Location Address898 OAK ST SWAtlanta, GA 30310-1959
Mailing Address898 Oak St Sw Unit 3425Atlanta, GA 30310-1974 · (678) 850-3509 · Fax (678) 850-3509
Fax(678) 850-3509
Organization SubpartNo
Authorized OfficialNijah BurrisFamily And Aesthetic Medicine · (678) 850-3509
Enumeration DateMay 25, 2026
NPPES CertifiedMay 25, 2026
NPI 1023949617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
898 OAK ST SW, Atlanta, GA 30310

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

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

Non-emergency Medical Transport (VAN)
898 OAK ST SW
ATLANTA, GA 30310

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 Re Vivify MD Health And Wellness Center's NPI number?

The NPI number for Re Vivify MD Health And Wellness Center is 1023949617. It was assigned to this organization in the NPPES registry on May 25, 2026.

Where is Re Vivify MD Health And Wellness Center located?

Re Vivify MD Health And Wellness Center is located at 898 Oak St SW, Atlanta, GA 30310. The listed phone number is (678) 850-3509.

What is Re Vivify MD Health And Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Re Vivify MD Health And Wellness Center was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.