REVIVE SPINE AND PAIN CARE CENTER, PC
NPI 1346963667
Pain Medicine - Interventional Pain Medicine in Alpharetta, GA
About Revive Spine And Pain Care Center, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE SPINE AND PAIN CARE CENTER, PC (NPI 1346963667) is a healthcare organization registered as an interventional pain medicine in Alpharetta, Georgia and active in the NPI registry since September 2022. The organization lists Jada J'nene Trashon Reese, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 Spine And Pain Care Center, Pc 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 Spine And Pain Care Center, PC, 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 Spine And Pain Care Center, PC's NPI number?
The NPI number for Revive Spine And Pain Care Center, PC is 1346963667. It was assigned to this organization in the NPPES registry on September 21, 2022.
Where is Revive Spine And Pain Care Center, PC located?
Revive Spine And Pain Care Center, PC is located at 11770 Haynes Bridge Rd Unit 205-310, Alpharetta, GA 30009. The listed phone number is (616) 634-5365.
What is Revive Spine And Pain Care Center, PC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Revive Spine And Pain Care Center, PC enrolled in Medicare?
Yes. Revive Spine And Pain Care Center, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Spine And Pain Care Center, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Revive Spine And Pain Care Center, PC, in Anesthesiology and Nurse Practitioner. 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 Spine And Pain Care Center, PC was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Spine And Pain Care Center, Pc · NPI 1346963667
Interventional Pain Medicine organization in Alpharetta, Georgia. Organization record, active in the CMS NPPES registry since September 21, 2022.
## Identity
- **NPI:** 1346963667 (Entity type: Organization)
- **Enumerated:** September 21, 2022
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Jada Reese, OWNER
## Practice location
- **Address:** 11770 HAYNES BRIDGE RD UNIT 205-310, Alpharetta, GA 30009-1966
- **Phone:** (616) 634-5365
## 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: Anesthesiology (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1346963667) · Data from the CMS NPPES public registry.