1. Home
  2. Directory
  3. South Carolina
  4. Florence
  5. Clinic Center
  6. NPI Profile

REVIVED MEDICAL COMMUNITY CLINIC
NPI 1306653688
Clinic/Center in Florence, SC

Active since December 11, 2024
2724 W PALMETTO ST STE 5, FLORENCE, SC 29501(843) 799-2649 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Dec 11, 2024 (2 updates tracked since 2024).

About Revived Medical Community Clinic NPPES

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

REVIVED MEDICAL COMMUNITY CLINIC (NPI 1306653688) is a healthcare organization registered as a clinic/center in Florence, South Carolina and active in the NPI registry since December 2024. The organization lists Lavanda Martin, Ceo,owner, as its authorized official.

NPPES Registry Identity

NPI1306653688
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVIVED MEDICAL COMMUNITY CLINIC
Location Address2724 W PALMETTO ST STE 5Florence, SC 29501-4909
Mailing Address2724 W Palmetto St Ste 5Florence, SC 29501-4909 · (843) 799-2649
Phone(843) 799-2649
Organization SubpartNo
Authorized OfficialLavanda MartinCeo,owner · (843) 799-2649
Enumeration DateDecember 11, 2024
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1306653688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2724 W PALMETTO ST STE 5, Florence, SC 29501
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

GERILYN SAMPSON RN
Registered Nurse (General Practice)
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (513) 280-0667
LAVANDA AYANA SMOOT MARTIN FNP-BC
Nurse Practitioner (Family)
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 799-2649
LIFE SAVIOR IN HOME PATIENT CARE, LLC
In Home Supportive Care
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 992-2682
REVIVED MEDICAL LAB, LLC
Clinical Medical Laboratory
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 799-2649
LIFE SAVIOR TRANSPORTATION, LLC
Non-emergency Medical Transport (VAN)
2724 W PALMETTO ST STE 5
FLORENCE, SC 29501
Florence County (843) 407-4006

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 Revived Medical Community Clinic's NPI number?

The NPI number for Revived Medical Community Clinic is 1306653688. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Revived Medical Community Clinic located?

Revived Medical Community Clinic is located at 2724 W Palmetto St Ste 5, Florence, SC 29501. The listed phone number is (843) 799-2649.

What is Revived Medical Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Revived Medical Community Clinic was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.