REVIVE SPINE AND PAIN CARE CENTER, PC
NPI 1346963667
Pain Medicine - Interventional Pain Medicine in Alpharetta, GA

Q: 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.

Active since September 21, 2022

11770 HAYNES BRIDGE RD UNIT 205-310, ALPHARETTA, GA 30009(616) 634-5365 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Sep 21, 2022 (2 updates tracked since 2022).

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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

NPI1346963667

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameREVIVE SPINE AND PAIN CARE CENTER, PC

Location Address11770 HAYNES BRIDGE RD UNIT 205-310Alpharetta, GA 30009-1966

Mailing Address270 Beacon Knoll DrAlpharetta, GA 30022-6441 · (616) 634-5365

Phone(616) 634-5365

Organization SubpartNo

Authorized OfficialJada J'nene Trashon ReeseOwner · (616) 634-5365

Enumeration DateSeptember 21, 2022

Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration

NPPES CertifiedOctober 13, 2022

✔ NPI 1346963667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedClinic/Center · PainTaxonomy 261QP3300X

11770 HAYNES BRIDGE RD UNIT 205-310, Alpharetta, GA 30009

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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.

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 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.