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REVIVAL MEDICAL WEIGHT LOSS CLINIC
NPI 1689263345
Preventive Medicine - Obesity Medicine in Wilmington, NC

Active since January 15, 2021
1508 MILITARY CUTOFF RD STE 203, WILMINGTON, NC 28403(910) 679-4312 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revival Medical Weight Loss Clinic NPPES

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

REVIVAL MEDICAL WEIGHT LOSS CLINIC (NPI 1689263345) is a healthcare organization registered as an obesity medicine in Wilmington, North Carolina and active in the NPI registry since January 2021. The organization lists Amy Nealey Wainwright, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689263345
Entity TypeOrganization
Primary Taxonomy2083B0002X
Legal Business NameREVIVAL MEDICAL WEIGHT LOSS CLINIC
Location Address1508 MILITARY CUTOFF RD STE 203Wilmington, NC 28403-5730
Mailing Address1508 Military Cutoff Rd Ste 203Wilmington, NC 28403-5730 · (910) 679-4312
Phone(910) 679-4312
Organization SubpartNo
Authorized OfficialAmy Nealey WainwrightCeo · (910) 679-4312
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1689263345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083B0002X
Definition
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
1508 MILITARY CUTOFF RD STE 203, Wilmington, NC 28403
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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

Other Providers at the Same Location NPPES 2

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

REVIVAL MEDICAL GROUP
Preventive Medicine (Public Health & General Preventive Medicine)
1508 MILITARY CUTOFF RD STE 203
WILMINGTON, NC 28403
New Hanover County (910) 679-4312
AMANDA BROOKE BAKER
Nurse Practitioner
1508 MILITARY CUTOFF RD STE 203
WILMINGTON, NC 28403
New Hanover County (910) 679-4312

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 Revival Medical Weight Loss Clinic's NPI number?

The NPI number for Revival Medical Weight Loss Clinic is 1689263345. It was assigned to this organization in the NPPES registry on January 15, 2021.

Where is Revival Medical Weight Loss Clinic located?

Revival Medical Weight Loss Clinic is located at 1508 Military Cutoff Rd Ste 203, Wilmington, NC 28403. The listed phone number is (910) 679-4312.

What is Revival Medical Weight Loss Clinic's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Obesity Medicine, with taxonomy code 2083B0002X.

When was this NPI record last updated?

The NPPES record for Revival Medical Weight Loss Clinic was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.