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REVIVAL PSYCHIATRY
NPI 1073285987
Nurse Practitioner - Psychiatric/Mental Health in Athens, AL

Active since September 29, 2021
15884 E LIMESTONE RD, ATHENS, AL 35613(256) 431-6469 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Revival Psychiatry NPPES

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

REVIVAL PSYCHIATRY (NPI 1073285987) is a healthcare organization registered as a psychiatric/mental health in Athens, Alabama and active in the NPI registry since September 2021. The organization lists Jacob Scott, Owner, as its authorized official.

NPPES Registry Identity

NPI1073285987
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREVIVAL PSYCHIATRY
Location Address15884 E LIMESTONE RDAthens, AL 35613-7522
Mailing Address15884 E Limestone RdAthens, AL 35613-7522 · (256) 431-6469
Phone(256) 431-6469
Organization SubpartNo
Authorized OfficialJacob ScottOwner · (256) 431-6469
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1073285987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
15884 E LIMESTONE RD, Athens, AL 35613
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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 2

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

MR. JACOB ANDREW SCOTT CRNP
Nurse Practitioner (Psychiatric/Mental Health)
15884 E LIMESTONE RD
ATHENS, AL 35613
Limestone County (125) 644-4451
SARAH MADELEINE LOWMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
15884 E LIMESTONE RD
ATHENS, AL 35613
Limestone County (256) 444-4511

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 Psychiatry's NPI number?

The NPI number for Revival Psychiatry is 1073285987. It was assigned to this organization in the NPPES registry on September 29, 2021.

Where is Revival Psychiatry located?

Revival Psychiatry is located at 15884 E Limestone Rd, Athens, AL 35613. The listed phone number is (256) 431-6469.

What is Revival Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Revival Psychiatry was last updated on September 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.