NPI age
2 years
Enumerated 2023-07-06
● Active Type 2 · Organization
Revitalife, Inc
Revitalife, Inc is 1 of 13 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ward
Ceo
Last NPPES update
2023-07-06
Source: monthly bulk 2026-05
How this organization compares
Across 13 active internal medicine providers in Georgia.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
102 Mary Alice Park Rd Ste 402
Cumming, GA 300402692
Mailing address
102 Mary Alice Park Rd Ste 402
Cumming, GA 300402692
Authorized official
Davia Ward
Ceo
📞 7707441409
Specialties
-
Internal Medicine PrimaryA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Revitalife Weight Loss Clinics
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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