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

Revivify Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1306686274

Revivify Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Stockbridge, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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

3200 N Henry Blvd Ste C
Stockbridge, GA 30281-4666
Phone: (504) 612-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1306686274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Adah — Owner · (504) 612-4202
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address3200 N Henry Blvd Ste C, Stockbridge, GA 30281-4666

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