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REVIVAL PAIN MANAGEMENT
NPI 1225379910
Anesthesiology - Pain Medicine in Elkin, NC

Active since March 06, 2013CLIA Certified · 3 labs
110 DUTCHMAN CT, ELKIN, NC 28621(336) 835-5330(336) 835-5337 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revival Pain Management NPPES

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

REVIVAL PAIN MANAGEMENT (NPI 1225379910) is a healthcare organization registered as a pain medicine in Elkin, North Carolina and active in the NPI registry since March 2013. The organization holds 3 active CLIA laboratory certificates and lists Gregory Schulz, Vp Surry Regional Health Services, as its authorized official.

NPPES Registry Identity

NPI1225379910
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSURRY REGIONAL HEALTH SERVICES INC.
Location Address110 DUTCHMAN CTElkin, NC 28621-2237
Mailing AddressPo Box 1267Mount Airy, NC 27030-1267 · (336) 786-4522 · Fax (336) 786-3752
Phone(336) 835-5330
Fax(336) 835-5337
Organization SubpartNo
Authorized OfficialGregory SchulzVp Surry Regional Health Services · (336) 783-8353
Enumeration DateMarch 6, 2013
Last NPPES UpdateNovember 12, 2014
✔ NPI 1225379910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
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.
110 DUTCHMAN CT, Elkin, NC 28621
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Other Names 1

Doing Business AsRevival Pain Management

Other Identifiers 1

Medicare PIN2322788NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D1026368

Revival Pain Management, Inc · Elkin, NC
Active · expires Sep 9, 2027
CLIA Number34D1026368
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorDr. Mary E. Lovin
Laboratory Phone(336) 835-5330
Laboratory LocationRevival Pain Management, Inc1925 N Bridge St, Suite 101, Elkin, NC 28621
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 34D2283236

Revival Pain Management · Mount Airy, NC
Active · expires Jun 4, 2027
CLIA Number34D2283236
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorMary E. Lovin
Laboratory Phone(336) 835-5330
Laboratory LocationRevival Pain Management905 Rockford St Lower Level, Mount Airy, NC 27030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2283237

Revival Pain Management · North Wilkesboro, NC
Active · expires Jun 4, 2027
CLIA Number34D2283237
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorMary E. Lovin
Laboratory Phone(336) 835-5330
Laboratory LocationRevival Pain Management1909 West Park Drive, North Wilkesboro, NC 28659
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

CHERYL RENAE ABERSOLD DNP, FNP
Nurse Practitioner (Family)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
RACHEL DANIELLE STANLEY NP-C
Nurse Practitioner (Family)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
NORTHERN HOSPITAL OF SURRY COUNTY
Pain Medicine (Pain Medicine)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-5330
MR. RICHARD JAMES STORK MD
Pain Medicine (Interventional Pain Medicine)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-5330
CHRISTY JONES LEUPOLD NP
Nurse Practitioner (Family)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
HIGH COUNTRY COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
HIGH COUNTRY COMMUNITY HEALTH
Pharmacy (Community/Retail Pharmacy)
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-7337
DONNA KAY DAVIS NP
Nurse Practitioner
110 DUTCHMAN CT
ELKIN, NC 28621
Surry County (336) 835-5330

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 Surry Regional Health Services Inc.'s NPI number?

The NPI number for Surry Regional Health Services Inc. is 1225379910. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Revival Pain Management.

Where is Surry Regional Health Services Inc. located?

Surry Regional Health Services Inc. is located at 110 Dutchman Ct, Elkin, NC 28621. The listed phone number is (336) 835-5330.

What is Surry Regional Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Surry Regional Health Services Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Surry Regional Health Services Inc. was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.