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REVIVED MEDICAL SPA LLC
NPI 1538837737
Clinic/Center in Holly Springs, GA

Active since September 01, 2021
350 HILLGROVE DR, HOLLY SPRINGS, GA 30114(404) 551-6686 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Revived Medical Spa Llc NPPES

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

REVIVED MEDICAL SPA LLC (NPI 1538837737) is a healthcare organization registered as a clinic/center in Holly Springs, Georgia and active in the NPI registry since September 2021. The organization lists Tarsha Kennedy, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1538837737
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREVIVED MEDICAL SPA LLC
Location Address350 HILLGROVE DRHolly Springs, GA 30114-8601
Mailing Address350 Hillgrove DrHolly Springs, GA 30114-8601 · (404) 551-6686
Phone(404) 551-6686
Organization SubpartNo
Authorized OfficialTarsha KennedyCo-owner · (678) 559-2301
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1538837737 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).
350 HILLGROVE DR, Holly Springs, GA 30114
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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 Revived Medical Spa LLC's NPI number?

The NPI number for Revived Medical Spa LLC is 1538837737. It was assigned to this organization in the NPPES registry on September 1, 2021.

Where is Revived Medical Spa LLC located?

Revived Medical Spa LLC is located at 350 Hillgrove Dr, Holly Springs, GA 30114. The listed phone number is (404) 551-6686.

What is Revived Medical Spa LLC'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 Spa LLC was last updated on September 1, 2021. 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.