REVIVE MEDICAL USA INC
NPI 1245950930
Clinic/Center - Primary Care in Tucker, GA
About Revive Medical Usa Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE MEDICAL USA INC (NPI 1245950930) is a healthcare organization registered as a primary care in Tucker, Georgia and active in the NPI registry since September 2022. The organization lists Gurleen Kaur, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Medical Usa Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Revive Medical Usa Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Revive Medical Usa Inc's NPI number?
The NPI number for Revive Medical Usa Inc is 1245950930. It was assigned to this organization in the NPPES registry on September 1, 2022.
Where is Revive Medical Usa Inc located?
Revive Medical Usa Inc is located at 2926 Mountain Industrial Blvd, Tucker, GA 30084. The listed phone number is (678) 379-1731.
What is Revive Medical Usa Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Revive Medical Usa Inc enrolled in Medicare?
Yes. Revive Medical Usa Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Medical Usa Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Revive Medical Usa Inc, in Hospitalist and Internal Medicine. 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.
When was this NPI record last updated?
The NPPES record for Revive Medical Usa Inc was last updated on May 25, 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.
# Revive Medical Usa Inc · NPI 1245950930
Primary Care organization in Tucker, Georgia. Organization record, active in the CMS NPPES registry since September 1, 2022.
## Identity
- **NPI:** 1245950930 (Entity type: Organization)
- **Enumerated:** September 1, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Gurleen Kaur, PRESIDENT
## Practice location
- **Address:** 2926 MOUNTAIN INDUSTRIAL BLVD, Tucker, GA 30084-3012
- **Phone:** (678) 379-1731 · **Fax:** (678) 248-2377
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospitalist (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245950930) · Data from the CMS NPPES public registry.