NPI age
15 years
Enumerated 2010-10-15
● Active Type 2 · Organization
Revive Athletics, Inc
Revive Athletics, Inc is 1 of 5327 speech-language pathologist organizations in Georgia.
Primary specialty
Speech-Language Pathologist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harrell
Executive Director
Last NPPES update
2010-10-15
Source: monthly bulk 2026-05
How this organization compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
15 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 9% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
460 Bourne Drive
Smyrna, GA 30082
Mailing address
2916 Lonesome Pine Lane
Atlanta, GA 303394114
Authorized official
Matthew Harrell
Executive Director
📞 7708998187
Specialties
-
Speech-Language Pathologist PrimaryThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
-
CounselorDefinition to come...
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.