REVITALIZE ALABAMA L.L.C
NPI 1942975180
Family Medicine in Auburn, AL
About Revitalize Alabama L.l.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVITALIZE ALABAMA L.L.C (NPI 1942975180) is a healthcare organization registered as a family medicine in Auburn, Alabama and active in the NPI registry since August 2021. The organization lists Travis Woodley, President, 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)
Revitalize Alabama L.l.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Revitalize Alabama L.L.C, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Revitalize Alabama L.L.C's NPI number?
The NPI number for Revitalize Alabama L.L.C is 1942975180. It was assigned to this organization in the NPPES registry on August 10, 2021.
Where is Revitalize Alabama L.L.C located?
Revitalize Alabama L.L.C is located at 105 1st Street, Auburn, AL 36830. The listed phone number is (334) 734-7973.
What is Revitalize Alabama L.L.C's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Revitalize Alabama L.L.C enrolled in Medicare?
Yes. Revitalize Alabama L.L.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revitalize Alabama L.L.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revitalize Alabama L.L.C. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revitalize Alabama L.L.C was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Revitalize Alabama L.l.c · NPI 1942975180
Family Medicine organization in Auburn, Alabama. Organization record, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1942975180 (Entity type: Organization)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Travis Woodley, PRESIDENT
## Practice location
- **Address:** 105 1ST STREET, Auburn, AL 36830-0000
- **Phone:** (334) 734-7973
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942975180) · Data from the CMS NPPES public registry.