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

Revive Wellness of Kennesaw LLC

Organization General Practice Physician · NPI 1033049390

Revive Wellness of Kennesaw LLC is a General Practice Physician in Kennesaw, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2819 Dallas St NW
Kennesaw, GA 30144-2705
Phone: (770) 401-6686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1033049390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julia Everheart — Office Manager · (470) 370-9280
NPI enumeratedMay 20, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address2819 Dallas St Nw, Kennesaw, GA 30144-2705

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