NPI age
1 years
Enumerated 2024-10-24
● Active Type 2 · Organization
Revive Wound Care Ga Llc
Revive Wound Care Ga Llc is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Manager
Last NPPES update
2024-10-24
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
1 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
980 Rowland St, Ste 5140 #1111
Clarkston, GA 30021
Mailing address
980 Rowland St, Ste 5140 #1111
Clarkston, GA 30021
Authorized official
Paul Davis
Manager
📞 9517606216
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Home HealthA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
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 →
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