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

NPI Status: Active since September 21, 2022

Contact Information

11770 HAYNES BRIDGE RD UNIT 205-310
ALPHARETTA, GA
ZIP 30009
Phone: (616) 634-5365

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About REVIVE SPINE AND PAIN CARE CENTER, PC

This page provides the complete NPI Profile along with additional information for Revive Spine And Pain Care Center, Pc, a provider established in Alpharetta, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1346963667 assigned on September 2022. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jada J'nene Trashon Reese Md (Owner)

NPI
1346963667
Provider Name
REVIVE SPINE AND PAIN CARE CENTER, PC
Entity Type
Organization
Location Address
11770 HAYNES BRIDGE RD UNIT 205-310 ALPHARETTA, GA 30009
Location Phone
(616) 634-5365
Mailing Address
270 BEACON KNOLL DR ALPHARETTA, GA 30022
Mailing Phone
(616) 634-5365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2022
Last Update Date
10-13-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JADA J'NENE TRASHON REESE MD

Authorized Official Title
OWNER
Authorized Official Phone
(616) 634-5365

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346963667, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 8 + 6 + 6 + 6 + 1 + 2 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1346963667.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346963667, enumerated as an "organization" on September 21, 2022.

The provider is located at 11770 HAYNES BRIDGE RD UNIT 205-310 ALPHARETTA, GA 30009 and the phone number is (616) 634-5365.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.