REVIVAL PAIN MANAGEMENT
NPI 1225379910
Anesthesiology - Pain Medicine in Elkin, NC
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 34D2283236
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-04-2027
About REVIVAL PAIN MANAGEMENT
This page provides the complete NPI Profile along with additional information for Revival Pain Management, a provider established in Elkin, North Carolina operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1225379910 assigned on March 2013. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 12 years ago. 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 provider's is doing business as Revival Pain Management. The authorized official of this NPI record is Mr. Gregory Schulz (Vp Surry Regional Health Services)
- NPI
- 1225379910 Verify this NPI
- Provider Legal Name
- SURRY REGIONAL HEALTH SERVICES INC.
- Other Organization Name
- REVIVAL PAIN MANAGEMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 110 DUTCHMAN CT ELKIN, NC 28621
- Location Phone
- (336) 835-5330
- Location Fax
- (336) 835-5337
- Mailing Address
- PO BOX 1267 MOUNT AIRY, NC 27030
- Mailing Phone
- (336) 786-4522
- Mailing Fax
- (336) 786-3752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-06-2013
- Last Update Date
- 11-12-2014
- Code Navigator
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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2322788 | MEDICARE PIN (08) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2283236
- Facility Type
- Physician Office
- Certificate Effective Date
- June 05, 2025
- Certificate Expiration Date
- June 04, 2027
- Laboratory Director
- MARY E. LOVIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Revival Pain Management to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for REVIVAL PAIN MANAGEMENT
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
ELKIN, NC 28621
ELKIN, NC 28621
ELKIN, NC 28621
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225379910, enumerated as an "organization" on March 06, 2013.
The provider is located at 110 DUTCHMAN CT ELKIN, NC 28621 and the phone number is (336) 835-5330.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
