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REVIVE PALMETTO LLC
NPI 1427815547
Plastic Surgery in Bluffton, SC

Active since March 05, 2024CLIA 42D2340291 · Waiver
206 BLUFFTON RD FL 2, BLUFFTON, SC 29910(843) 575-3308(502) 324-4035 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Palmetto Llc NPPES

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

REVIVE PALMETTO LLC (NPI 1427815547) is a healthcare organization registered as a plastic surgery in Bluffton, South Carolina and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Jarrod Alexander Little, Owner, as its authorized official.

NPPES Registry Identity

NPI1427815547
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameREVIVE PALMETTO LLC
Location Address206 BLUFFTON RD FL 2Bluffton, SC 29910-6213
Mailing Address112 Mainland Lakes DrBluffton, SC 29910-4562 · (843) 575-3308 · Fax (502) 324-4035
Phone(843) 575-3308
Fax(502) 324-4035
Organization SubpartNo
Authorized OfficialJarrod Alexander LittleOwner · (843) 575-3308
Enumeration DateMarch 5, 2024
NPPES CertifiedMarch 5, 2024
✔ NPI 1427815547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
206 BLUFFTON RD FL 2, Bluffton, SC 29910
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Other Identifiers 3

Other41316KY · Kentucky Medical License
Other1023166139Individual Npi
OtherMD90614SC · South Carolina Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2340291

Revive Palmetto, LLC · Bluffton, SC
Active · expires Mar 15, 2028
CLIA Number42D2340291
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorJarrod A. Little
Laboratory Phone(843) 480-0060
Laboratory LocationRevive Palmetto, LLC206 Bluffton Road Suite 201, Bluffton, SC 29910
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Palmetto LLC's NPI number?

The NPI number for Revive Palmetto LLC is 1427815547. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Revive Palmetto LLC located?

Revive Palmetto LLC is located at 206 Bluffton Rd Fl 2, Bluffton, SC 29910. The listed phone number is (843) 575-3308.

What is Revive Palmetto LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Revive Palmetto LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2340291) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revive Palmetto LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Revive Palmetto LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Palmetto LLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.