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

Revive Concierge & Wellness PLLC

Organization Family Medicine Physician · NPI 1942904818

Revive Concierge & Wellness PLLC is a Family Medicine Physician in Burlington, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
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

2961 Crouse Ln
Burlington, NC 27215-8833
Phone: (336) 266-0518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1942904818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chrystal Gammon — Owner · (336) 266-0518
NPI enumeratedMarch 27, 2023
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing addressPo Box 116, Sedalia, NC 27342-0116

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