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

Fredy Jesus Revilla, MD

Individual provider Neurology Physician · NPI 1760418610

Fredy Jesus Revilla, MD is a Neurology in Greenville, South Carolina. Qualified in 1993, 33 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group and accepts Medicare assignment. Licensed in Ohio and South Carolina.

Years since qualifying
33
Licensed in
OH, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Patewood Dr Ste B350
Greenville, SC 29615-6337
Phone: (864) 454-4500
Fax: (864) 454-4505
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 37641 (SC)
Neurology Physician Taxonomy 2084N0400X · Licence 35083417 (OH)

Record details

NPI number1760418610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenville