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

Emidio Michael Novembre, DO

Individual provider Addiction Medicine (Anesthesiology) Physician · NPI 1750308664

Emidio Michael Novembre, DO is an Interventional Pain Management in Elkin, North Carolina. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1987, 39 years ago. Practices with Revival Pain Management Inc, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
39
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

110 Dutchman Ct
Elkin, NC 28621-2237
Phone: (336) 835-5330
Fax: (336) 835-5337
Show map & directions

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

Additional practice locations (2)

  • 905 Rockford St Lowr Level, Mount Airy, NC 27030-5323 — (336) 835-5330
  • 1909 W Park Dr, North Wilkesboro, NC 28659-3564 — (336) 835-5330

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 200201393 (NC)
Addiction Medicine (Anesthesiology) Physician Taxonomy 207LA0401X · Licence 2002-01393 (NC)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 200201393 (NC)

Record details

NPI number1750308664
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address1925 N Bridge St Ste 101, Elkin, NC 28621-2105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesADDICTION MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1987 (39 years in practice)
Group practice Revival Pain Management Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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