REVELLA HEALTH INC
NPI 1639996192
General Practice in Birmingham, AL

Q: What is Revella Health Inc's NPI number?

The NPI number for Revella Health Inc is 1639996192. It was assigned to this organization in the NPPES registry on September 25, 2024.

Q: What is Revella Health Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 25, 2024CLIA 01D2334377 · Waiver

1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL 35243(205) 929-7451 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Revella Health Inc NPPES

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

REVELLA HEALTH INC (NPI 1639996192) is a healthcare organization registered as a general practice in Birmingham, Alabama and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Daniel Yeboah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639996192

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameREVELLA HEALTH INC

Location Address1 PERIMETER PARK S STE 100NBirmingham, AL 35243-3248

Mailing Address1 Perimeter Park S Ste 100nBirmingham, AL 35243-3248

Phone(205) 929-7451

Organization SubpartNo

Authorized OfficialDaniel YeboahCeo · (205) 929-7451

Enumeration DateSeptember 25, 2024

Last NPPES UpdateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1639996192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X

Also ListedPoint of ServiceTaxonomy 305S00000X

Also ListedPharmacyTaxonomy 333600000X

1 PERIMETER PARK S STE 100N, Birmingham, AL 35243

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 01D2334377

Revella Health · Birmingham, AL

Active · expires Nov 18, 2027

CLIA Number01D2334377

Laboratory TypeHealth Fair

Certificate Effective DateNovember 19, 2025

Certificate Expiration DateNovember 18, 2027

Laboratory DirectorDaniel Yeboah

Laboratory Phone(205) 929-7451

Laboratory LocationRevella Health1 Perimeter Park South, Birmingham, AL 35243

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN G HAYS

Community/Behavioral Health