NPI age
1 years
Enumerated 2025-03-05
● Active Type 2 · Organization
Revivere Nutrition
Revivere Nutrition is 1 of 1653 dietitian, registered organizations in Georgia.
Primary specialty
Dietitian, Registered
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Grosch
Registered Dietitian
Last NPPES update
2025-03-05
Source: monthly bulk 2026-05
How this organization compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
1 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-03Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
514 Silver Maple Ln
Woodstock, GA 301896907
Mailing address
514 Silver Maple Ln
Woodstock, GA 301896907
Additional practice locations
1 secondary location on file with NPPES.
Location 2
240 N Highland Ave Ne
Atlanta, GA 303075609
Authorized official
Caroline Grosch, RD, LD, CNSC
Registered Dietitian
📞 9783042794
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1770368060 |
Practice context
Multi-site organization. 1 additional 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.