NPI age
2 years
Enumerated 2023-10-16
● Active Type 2 · Organization
Revive Rx
Revive Rx is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dublin
Ceo
Last NPPES update
2023-10-16
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
2 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1252 Todiway Ct
Jonesboro, GA 302386546
Mailing address
154 Rainbow Way Unit 257
Fayetteville, GA 302143994
Authorized official
Krystal Dublin
Ceo
📞 7709466976
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
N/A
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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.