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REVITALIZE ALABAMA L.L.C
NPI 1942975180
Family Medicine in Auburn, AL

Active since August 10, 2021
105 1ST STREET, AUBURN, AL 36830(334) 734-7973 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2021, Aug 10, 2021 (2 updates tracked since 2021).

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

NPI1942975180
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVITALIZE ALABAMA L.L.C
Location Address105 1ST STREETAuburn, AL 36830-0000
Mailing AddressPo Box 2738Opelika, AL 36803-2738 · (334) 734-7973
Phone(334) 734-7973
Organization SubpartNo
Authorized OfficialTravis WoodleyPresident · (334) 734-7973
Enumeration DateAugust 10, 2021
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1942975180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 1ST STREET, Auburn, AL 36830
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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 Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

What insurance does Revitalize Alabama L.L.C accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Revitalize Alabama L.L.C 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 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 4 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.