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REVIVE MEDICAL CENTER, LLC
NPI 1750801205
Internal Medicine in Lawrenceville, GA

Active since June 26, 2017CLIA 11D2248155 · Certificate of Compliance
753 OLD NORCROSS RD STE A, LAWRENCEVILLE, GA 30046(770) 545-8888(770) 545-8889 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 13, 2019, Jun 26, 2017 (3 updates tracked since 2017).

About Revive Medical Center, Llc NPPES

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

REVIVE MEDICAL CENTER, LLC (NPI 1750801205) is a healthcare organization registered as an internal medicine in Lawrenceville, Georgia and active in the NPI registry since June 2017. The organization holds a CLIA Certificate of Compliance certificate valid through May 14, 2027 and lists Michael D Schulman, Owner, as its authorized official.

NPPES Registry Identity

NPI1750801205
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVIVE MEDICAL CENTER, LLC
Location Address753 OLD NORCROSS RD STE ALawrenceville, GA 30046-4312
Mailing Address753 Old Norcross Rd Ste ALawrenceville, GA 30046-4312 · (770) 545-8888 · Fax (770) 545-8889
Phone(770) 545-8888
Fax(770) 545-8889
Organization SubpartNo
Authorized OfficialMichael D SchulmanOwner · (770) 545-8888
Enumeration DateJune 26, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1750801205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedChiropractorTaxonomy 111N00000X
753 OLD NORCROSS RD STE A, Lawrenceville, GA 30046
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 Compliance 11D2248155

Revive Medical Center · Lawrenceville, GA
Active · expires May 14, 2027
CLIA Number11D2248155
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorPaul Jaswal
Laboratory Phone(678) 701-6397
Laboratory LocationRevive Medical Center753 Old Norcross Road, Suite A, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Revive Medical Center, LLC's NPI number?

The NPI number for Revive Medical Center, LLC is 1750801205. It was assigned to this organization in the NPPES registry on June 26, 2017.

Where is Revive Medical Center, LLC located?

Revive Medical Center, LLC is located at 753 Old Norcross Rd Ste A, Lawrenceville, GA 30046. The listed phone number is (770) 545-8888.

What is Revive Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Revive Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2248155) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revive Medical Center, LLC accept?

Health plans from Alliant Health Plans, Inc. list Revive Medical Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Medical Center, LLC was last updated on July 21, 2022. 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.