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REVITALIFE, INC
NPI 1104504406
Internal Medicine - Obesity Medicine in Cumming, GA

Active since July 06, 2023
102 MARY ALICE PARK RD STE 402, CUMMING, GA 30040(770) 744-1409 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Revitalife, Inc NPPES

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

REVITALIFE, INC (NPI 1104504406), doing business as Revitalife Weight Loss Clinics, is a healthcare organization registered as an obesity medicine in Cumming, Georgia and active in the NPI registry since July 2023. The organization lists Davia Ward, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104504406
Entity TypeOrganization
Primary Taxonomy207RB0002X
Legal Business NameREVITALIFE, INC
Location Address102 MARY ALICE PARK RD STE 402Cumming, GA 30040-2692
Mailing Address102 Mary Alice Park Rd Ste 402Cumming, GA 30040-2692 · (770) 744-1409
Phone(770) 744-1409
Organization SubpartNo
Authorized OfficialDavia WardCeo · (770) 744-1409
Enumeration DateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1104504406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RB0002X
Definition
An internal medicine 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.
102 MARY ALICE PARK RD STE 402, Cumming, GA 30040
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Other Names 1

Doing Business AsRevitalife Weight Loss Clinics

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

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 Revitalife, Inc's NPI number?

The NPI number for Revitalife, Inc is 1104504406. It was assigned to this organization in the NPPES registry on July 6, 2023. The provider is doing business as Revitalife Weight Loss Clinics.

Where is Revitalife, Inc located?

Revitalife, Inc is located at 102 Mary Alice Park Rd Ste 402, Cumming, GA 30040. The listed phone number is (770) 744-1409.

What is Revitalife, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

When was this NPI record last updated?

The NPPES record for Revitalife, Inc was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.