REVELSTONE FAMILY PRACTICE - NPI 1790143436 - Family Medicine in Albemarle, NC

Q: What is Revelstone Family Practice's NPI number?

The NPI number for Revelstone Family Practice is 1790143436. It was assigned to this organization in the NPPES registry on February 9, 2016.

Q: What is Revelstone Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Revelstone Family Practice NPPES

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

REVELSTONE FAMILY PRACTICE (NPI 1790143436) is a healthcare organization registered as a family medicine in Albemarle, North Carolina and active in the NPI registry since February 2016. The organization lists Edward Allen Kepp, Owner, as its authorized official.

NPPES Registry Identity

NPI1790143436

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameREVELSTONE FAMILY PRACTICE

Location Address232 CONCORD RDAlbemarle, NC 28001-4612

Mailing Address232 Concord RdAlbemarle, NC 28001-4612 · (704) 986-3900 · Fax (704) 986-3913

Phone(704) 986-3900

Fax(704) 986-3913

Organization SubpartNo

Authorized OfficialEdward Allen KeppOwner · (704) 986-3900

Enumeration DateFebruary 9, 2016

Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1790143436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 9400873

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

232 CONCORD RD, Albemarle, NC 28001

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Other Identifiers 1

Medicaid8947986NC

Group Practice 2

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

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

Other Providers at the Same Location NPPES 7

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

EDWARD A KEPP MD

Internal Medicine