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REVIVAL VENTURES
NPI 1235867037
Plastic Surgery in Miramar Beach, FL

Active since August 10, 2022
3572 PRESERVE DR, MIRAMAR BEACH, FL 32550(504) 233-9818(504) 949-0599 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, Mar 7, 2023, Aug 10, 2022 (3 updates tracked since 2022).

About Revival Ventures NPPES

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

REVIVAL VENTURES (NPI 1235867037) is a healthcare organization registered as a plastic surgery in Miramar Beach, Florida and active in the NPI registry since August 2022. The organization lists Daniel Womac, Sole Ownder, as its authorized official.

NPPES Registry Identity

NPI1235867037
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameREVIVAL VENTURES
Location Address3572 PRESERVE DRMiramar Beach, FL 32550-1802
Mailing Address425 Upstream StRiver Ridge, LA 70123-2835 · (504) 812-3090 · Fax (504) 387-6538
Phone(504) 233-9818
Fax(504) 949-0599
Organization SubpartNo
Authorized OfficialDaniel WomacSole Ownder · (504) 800-8058
Enumeration DateAugust 10, 2022
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1235867037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
3572 PRESERVE DR, Miramar Beach, FL 32550
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Other Identifiers 1

OtherME153935FL · Florida State License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revival Ventures is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revival Ventures, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Womac, M.D.
Plastic and Reconstructive Surgery
NPI 1316144645
3440 DIVISION ST STE G
Metairie, LA 70002
(504) 208-4454
✔ PECOS✔ Accepts Medicare232 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ventures's NPI number?

The NPI number for Revival Ventures is 1235867037. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Revival Ventures located?

Revival Ventures is located at 3572 Preserve Dr, Miramar Beach, FL 32550. The listed phone number is (504) 233-9818.

What is Revival Ventures's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Revival Ventures enrolled in Medicare?

Yes. Revival Ventures is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revival Ventures?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Revival Ventures. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revival Ventures accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Revival Ventures as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revival Ventures was last updated on April 4, 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.