Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Re Vivify MD Health and Wellness Center

Organization Family Medicine Physician · NPI 1023949617

Re Vivify MD Health and Wellness Center is a Family Medicine Physician in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5

Practice location Address checks out

898 Oak St SW
Atlanta, GA 30310-1959
Phone: (678) 850-3509
Fax: (678) 850-3509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Adult Medicine Physician Taxonomy 207QA0505X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Physician Nutrition Specialist (Family Medicine) Taxonomy 207QP0002X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1023949617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nijah Burris — Family And Aesthetic Medicine · (678) 850-3509
NPI enumeratedMay 25, 2026
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026
Mailing address898 Oak St Sw Unit 3425, Atlanta, GA 30310-1974

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