REVIVE CONCIERGE & WELLNESS PLLC
NPI 1942904818
Family Medicine in Burlington, NC
About Revive Concierge & Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE CONCIERGE & WELLNESS PLLC (NPI 1942904818) is a healthcare organization registered as a family medicine in Burlington, North Carolina and active in the NPI registry since March 2023. The organization lists Chrystal Dannette Gunn Gammon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Concierge & Wellness 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 Revive Concierge & Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Concierge & Wellness PLLC's NPI number?
The NPI number for Revive Concierge & Wellness PLLC is 1942904818. It was assigned to this organization in the NPPES registry on March 27, 2023.
Where is Revive Concierge & Wellness PLLC located?
Revive Concierge & Wellness PLLC is located at 2961 Crouse Ln, Burlington, NC 27215. The listed phone number is (336) 266-0518.
What is Revive Concierge & Wellness PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Revive Concierge & Wellness PLLC enrolled in Medicare?
Yes. Revive Concierge & Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Concierge & Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Revive Concierge & Wellness 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 Revive Concierge & Wellness PLLC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Revive Concierge & Wellness Pllc · NPI 1942904818
Family Medicine organization in Burlington, North Carolina. Organization record, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1942904818 (Entity type: Organization)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Chrystal Gammon, OWNER
## Practice location
- **Address:** 2961 CROUSE LN, Burlington, NC 27215-8833
- **Phone:** (336) 266-0518
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942904818) · Data from the CMS NPPES public registry.