P Praxis·MD
● Active Type 2 · Organization

Revivere Nutrition

Dietitian, Registered·Woodstock, GA· NPI 1417755398 · Enumerated 2025 · 1 years on NPI
Revivere Nutrition is 1 of 1653 dietitian, registered organizations in Georgia.
NPI age
1 years
Enumerated 2025-03-05
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
📞 9783042794
Mailing address
514 Silver Maple Ln
Woodstock, GA 301896907
📞 9783042794

Additional practice locations

1 secondary location on file with NPPES.

Location 2
240 N Highland Ave Ne
Atlanta, GA 303075609
📞 9783042794

Authorized official

Caroline Grosch, RD, LD, CNSC
Registered Dietitian
📞 9783042794

Specialties

  • Dietitian, Registered Primary
    A 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...
    taxonomy 133V00000X

Identifiers

TypeValueNotes
05 (GA) 1770368060

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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