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REVIVAL PAIN MANAGEMENT INC
NPI 1801813712
Pain Medicine - Interventional Pain Medicine in Elkin, NC

Active since July 16, 2006
1925 N BRIDGE ST STE 101, ELKIN, NC 28621(336) 835-5330(336) 835-5337 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Jul 10, 2023, Aug 12, 2022 and 1 more (4 updates tracked since 2021).

About Revival Pain Management Inc NPPES

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

REVIVAL PAIN MANAGEMENT INC (NPI 1801813712) is a healthcare organization registered as an interventional pain medicine in Elkin, North Carolina and active in the NPI registry since July 2006. The organization maintains 2 additional practice locations and lists Emidio Michael Novembre, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1801813712
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameREVIVAL PAIN MANAGEMENT INC
Location Address1925 N BRIDGE ST STE 101Elkin, NC 28621-2105
Mailing Address1925 N Bridge St Ste 101Elkin, NC 28621-2105 · (336) 835-5330 · Fax (336) 835-5337
Phone(336) 835-5330
Fax(336) 835-5337
Organization SubpartNo
Authorized OfficialEmidio Michael NovembrePractice Owner · (336) 835-5330
Enumeration DateJuly 16, 2006
Last NPPES UpdateNovember 20, 20254 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1801813712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
1925 N BRIDGE ST STE 101, Elkin, NC 28621
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Secondary Practice Locations 2

Location 11909 W Park DrNorth Wilkesboro, NC 28659-3564 · Phone (336) 835-5330 · Fax (336) 835-5337
Location 2905 Rockford St Lowr LevelMount Airy, NC 27030-5323 · Phone (336) 835-5330 · Fax (336) 835-5337

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 Blue Cross and Blue Shield of NC.Insurance ›

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.

JENNIFER BROOKE GREGORY-LYLES LCMHC
Counselor (Mental Health)
1925 N BRIDGE ST STE 101
ELKIN, NC 28621
Surry County (368) 357-3373
YA XIONG NP
Nurse Practitioner (Family)
1925 N BRIDGE ST STE 101
ELKIN, NC 28621
Surry County (336) 835-5330

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 Pain Management Inc's NPI number?

The NPI number for Revival Pain Management Inc is 1801813712. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Revival Pain Management Inc located?

Revival Pain Management Inc is located at 1925 N Bridge St Ste 101, Elkin, NC 28621. The listed phone number is (336) 835-5330.

What is Revival Pain Management Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

What insurance does Revival Pain Management Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Revival Pain Management Inc 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 Revival Pain Management Inc was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.