REVIVE WELLNESS OF KENNESAW LLC
NPI 1033049390
General Practice in Kennesaw, GA
NPI Status: Active since May 20, 2026
Contact Information
2819 DALLAS ST NW
KENNESAW, GA
ZIP 30144
Phone: (770) 401-6686
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- General Practice
About REVIVE WELLNESS OF KENNESAW LLC
This page provides the complete NPI Profile along with additional information for Revive Wellness Of Kennesaw Llc, a primary care provider established in Kennesaw, Georgia operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1033049390 assigned on May 2026. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Julia Everheart (Office Manager)
- NPI
- 1033049390
- Provider Name
- REVIVE WELLNESS OF KENNESAW LLC
- Entity Type
- Organization
- Location Address
- 2819 DALLAS ST NW KENNESAW, GA 30144
- Location Phone
- (770) 401-6686
- Mailing Address
- 2819 DALLAS ST NW KENNESAW, GA 30144
- Mailing Phone
- (770) 401-6686
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2026
- Last Update Date
- 05-20-2026
- Code Navigator
A primary care provider (PCP) like Revive Wellness Of Kennesaw Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1033049390, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033049390, enumerated as an "organization" on May 20, 2026.
The provider is located at 2819 DALLAS ST NW KENNESAW, GA 30144 and the phone number is (770) 401-6686.
General Practice with taxonomy code 208D00000X.