REVIVE MEDICAL CENTER, LLC
NPI 1750801205
Internal Medicine in Lawrenceville, GA
NPI Status: Active since June 26, 2017
Contact Information
753 OLD NORCROSS RD STE A
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 545-8888
Fax: (770) 545-8889
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 11D2248155
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-14-2027
About REVIVE MEDICAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for Revive Medical Center, Llc, an internist established in Lawrenceville, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750801205 assigned on June 2017. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Revive Medical Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michael D Schulman (Owner)
- NPI
- 1750801205
- Provider Name
- REVIVE MEDICAL CENTER, LLC
- Entity Type
- Organization
- Location Address
- 753 OLD NORCROSS RD STE A LAWRENCEVILLE, GA 30046
- Location Phone
- (770) 545-8888
- Location Fax
- (770) 545-8889
- Mailing Address
- 753 OLD NORCROSS RD STE A LAWRENCEVILLE, GA 30046
- Mailing Phone
- (770) 545-8888
- Mailing Fax
- (770) 545-8889
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2017
- Last Update Date
- 07-21-2022
- Code Navigator
An internist like Revive Medical Center, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2248155
- Facility Type
- Physician Office
- Certificate Effective Date
- May 15, 2025
- Certificate Expiration Date
- May 14, 2027
- Laboratory Director
- PAUL JASWAL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Revive Medical Center, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750801205, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750801205, enumerated as an "organization" on June 26, 2017.
The provider is located at 753 OLD NORCROSS RD STE A LAWRENCEVILLE, GA 30046 and the phone number is (770) 545-8888.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
