REVITAL HEALTH AND WELLNESS CLINICS PLLC
NPI 1902378581
Nurse Practitioner - Primary Care in Smyrna, TN

Active since December 20, 2018
695 PRESIDENT PL STE 200, SMYRNA, TN 37167(615) 768-5552(615) 768-5583 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revital Health And Wellness Clinics Pllc NPPES

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

REVITAL HEALTH AND WELLNESS CLINICS PLLC (NPI 1902378581) is a healthcare organization registered as a primary care in Smyrna, Tennessee and active in the NPI registry since December 2018. The organization lists Joseph Brandon Sweat, Owner/np, as its authorized official.

NPPES Registry Identity

NPI1902378581
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameREVITAL HEALTH AND WELLNESS CLINICS PLLC
Location Address695 PRESIDENT PL STE 200Smyrna, TN 37167-5681
Mailing Address695 President Pl Ste 200Smyrna, TN 37167-5681 · (615) 768-5552 · Fax (615) 768-5583
Fax(615) 768-5583
Organization SubpartNo
Authorized OfficialJoseph Brandon SweatOwner/np · (615) 768-5552
Enumeration DateDecember 20, 2018
✔ NPI 1902378581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
695 PRESIDENT PL STE 200, Smyrna, TN 37167

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revital Health And Wellness Clinics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revital Health And Wellness Clinics PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1952653057
7723 CLEARVIEW CHURCH LN
Lyles, TN 37098
(931) 670-5520
✔ PECOS✔ Accepts Medicare44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Revital Health And Wellness Clinics PLLC's NPI number?

The NPI number for Revital Health And Wellness Clinics PLLC is 1902378581. It was assigned to this organization in the NPPES registry on December 20, 2018.

Where is Revital Health And Wellness Clinics PLLC located?

Revital Health And Wellness Clinics PLLC is located at 695 President Pl Ste 200, Smyrna, TN 37167. The listed phone number is (615) 768-5552.

What is Revital Health And Wellness Clinics PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Revital Health And Wellness Clinics PLLC enrolled in Medicare?

Yes. Revital Health And Wellness Clinics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revital Health And Wellness Clinics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revital Health And Wellness Clinics PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revital Health And Wellness Clinics PLLC was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.