REVIVAL WOUND SPECIALISTS LLC
NPI 1689531709
Nurse Practitioner in Perry, GA

Q: What is Revival Wound Specialists LLC's NPI number?

The NPI number for Revival Wound Specialists LLC is 1689531709. It was assigned to this organization in the NPPES registry on January 9, 2026.

Q: What is Revival Wound Specialists LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 09, 2026

302 BERMUDA RDG, PERRY, GA 31069(470) 979-7018 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Revival Wound Specialists Llc NPPES

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

REVIVAL WOUND SPECIALISTS LLC (NPI 1689531709) is a healthcare organization registered as a nurse practitioner in Perry, Georgia and active in the NPI registry since January 2026. The organization lists Dat Le, Owner, as its authorized official.

NPPES Registry Identity

NPI1689531709

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameREVIVAL WOUND SPECIALISTS LLC

Location Address302 BERMUDA RDGPerry, GA 31069-8756

Mailing Address302 Bermuda RdgPerry, GA 31069-8756

Phone(470) 979-7018

Organization SubpartNo

Authorized OfficialDat LeOwner · (470) 979-7018

Enumeration DateJanuary 9, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1689531709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

302 BERMUDA RDG, Perry, GA 31069

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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

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 Wound Specialists LLC's NPI number?

The NPI number for Revival Wound Specialists LLC is 1689531709. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Revival Wound Specialists LLC located?

Revival Wound Specialists LLC is located at 302 Bermuda Rdg, Perry, GA 31069. The listed phone number is (470) 979-7018.

What is Revival Wound Specialists LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Revival Wound Specialists LLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.