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

Revival Functional Nutrition PLLC

Organization Chiropractor · NPI 1477375327

Revival Functional Nutrition PLLC is a Chiropractor in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5527 Monroe Rd
Charlotte, NC 28212-5503
Phone: (980) 324-3363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1477375327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Pries — Doctor/Owner · (980) 470-3606
NPI enumeratedOctober 30, 2024
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address5527 Monroe Rd, Charlotte, NC 28212-5503

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