REVIVE CHIROPRACTIC CENTERS MILLPOND LLC
NPI 1912663139
Chiropractor in Lexington, KY

Q: What is Revive Chiropractic Centers Millpond LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since November 11, 2021

3229 SUMMIT SQUARE PL STE 150, LEXINGTON, KY 40509(859) 263-2774 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Nov 24, 2021, Nov 11, 2021 (3 updates tracked since 2021).

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About Revive Chiropractic Centers Millpond Llc NPPES

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

REVIVE CHIROPRACTIC CENTERS MILLPOND LLC (NPI 1912663139) is a healthcare organization registered as a chiropractor in Lexington, Kentucky and active in the NPI registry since November 2021. The organization lists Nicholas Leverette, Owner, as its authorized official.

NPPES Registry Identity

NPI1912663139

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameREVIVE CHIROPRACTIC CENTERS MILLPOND LLC

Location Address3229 SUMMIT SQUARE PL STE 150Lexington, KY 40509-2668

Mailing Address3229 Summit Square Pl Ste 150Lexington, KY 40509-2668 · (859) 263-2774

Phone(859) 263-2774

Organization SubpartNo

Authorized OfficialNicholas LeveretteOwner · (859) 263-2774

Enumeration DateNovember 11, 2021

Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1912663139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3229 SUMMIT SQUARE PL STE 150, Lexington, KY 40509

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Chiropractic Centers Millpond Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20211217002185Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Chiropractic Centers Millpond LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Leverette, D.C.

Chiropractic

NPI 1710176987

3229 SUMMIT SQUARE PL STE 150
Lexington, KY 40509

(859) 263-2774

✔ Accepts MedicareSame address

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 Revive Chiropractic Centers Millpond LLC's NPI number?

The NPI number for Revive Chiropractic Centers Millpond LLC is 1912663139. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Revive Chiropractic Centers Millpond LLC located?

Revive Chiropractic Centers Millpond LLC is located at 3229 Summit Square Pl Ste 150, Lexington, KY 40509. The listed phone number is (859) 263-2774.

What is Revive Chiropractic Centers Millpond LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Revive Chiropractic Centers Millpond LLC enrolled in Medicare?

Yes. Revive Chiropractic Centers Millpond LLC is registered in the Medicare PECOS enrollment system.

When is Revive Chiropractic Centers Millpond LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Revive Chiropractic Centers Millpond LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revive Chiropractic Centers Millpond LLC. 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.

What insurance does Revive Chiropractic Centers Millpond LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Revive Chiropractic Centers Millpond 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 Chiropractic Centers Millpond LLC was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.