P Praxis·MD
● Active Type 1 · Individual

DR. Sally M. Revell, MD

Otolaryngology·Marietta, GA· NPI 1225212061 · Enumerated 2007 · 18 years on NPI
Revell is 1 of 20 otolaryngology providers in Marietta and 1 of 450 in Georgia.
NPI age
18 years
Enumerated 2007-12-27
Primary specialty
Otolaryngology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
699 Church St Ne, Ste 340
Marietta, GA 30060
📞 7707937613fax 7707937413
Mailing address
148 Bill Carruth Pkwy, Ste 220
Hiram, GA 301413754
📞 7705050023fax 7705059848

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #65884 taxonomy 207Y00000X

Practice context

Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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