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

Revival Medical Weight Loss Clinic

Organization Obesity Medicine (Preventive Medicine) Physician · NPI 1023785714

Revival Medical Weight Loss Clinic is an Obesity Medicine (Preventive Medicine) Physician in Greenville, North Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2245 Stantonsburg Rd Ste A
Greenville, NC 27834-2868
Phone: (252) 653-5022
Show map & directions

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

Specialties & licences

Obesity Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083B0002X

Record details

NPI number1023785714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Waiwright — Ceo · (910) 679-4312
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 30, 2021
Certification dateJanuary 15, 2021
Mailing address1508 Military Cutoff Rd Ste 203, Wilmington, NC 28403-5730