Re Vivify MD Health and Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RE VIVIFY MD HEALTH AND WELLNESS CENTER

Practice address

898 Oak St SW
Atlanta, GA 30310-1959

Phone

(678) 850-3509

Fax

(678) 850-3509

NPI assigned

May 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nijah Burris, MDNPI 1528645371

Title

Family and Aesthetic Medicine

Phone

(678) 850-3509

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nijah Burris

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1528645371
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1023949617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 OAK ST SW UNIT 3425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101974",
            "telephone_number": "678-850-3509",
            "fax_number": "678-850-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 OAK ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101959",
            "telephone_number": "678-850-3509",
            "fax_number": "678-850-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE VIVIFY MD HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "NIJAH",
        "authorized_official_title_or_position": "FAMILY AND AESTHETIC MEDICINE",
        "authorized_official_telephone_number": "678-850-3509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QP0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Physician Nutrition Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahir Razzaq
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• Rby Group Services, Inc
• RC'S Logistics and Transportation
• RCS Vision, LLC
• Reach Angels Agency LLC
• Reach Counseling Services LLC
• Reach Higher ABA Georgia, LLC
• Reach Physical Therapy LLC
• Rebecca Welsch Reach, CAA

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.