Revenel Revert Metayer

Primary specialty

DentistTaxonomy code 122300000X

License

DN123860 Issued in GA

Practice address

2570 Blackmon Dr Ste 310
Decatur, GA 30033-6197

Phone

(678) 203-3462

NPI assigned

Mar 12, 2024

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Decatur Dentistry, PC

  dba North Decatur Dentistry

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1154868917

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1336907534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 310",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336197",
            "telephone_number": "239-206-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 310",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336197",
            "telephone_number": "678-203-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAYER",
        "first_name": "REVENEL",
        "middle_name": "REVERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Cecelia Merrett, MS, LPC, NCC
• Folasade Merritt, MD
• Lee Merritt Jr., LMSW
• Morse Calvin Merriwether III, COTA/L
• Annemarie Messerschmidt, LCSW
• Metro Decatur Dental Group
• Metro Medical Associates of Decatur, LLC
• Metro Vascular, P.C.
• Metro Women's Health Specialist, LLC
• Metropolitan Atlanta OB/GYN

• Dentist in Decatur, GA
• Providers in Decatur, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.