Reviveease Care, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

REVIVEEASE CARE, LLC

Practice address

5626 Post Oak TRL
Bessemer, AL 35022-4714

Phone

(256) 318-7811

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Gamble Davis

Title

Owner/Exercise Physiologist

Phone

(256) 318-7811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

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

• Jamal Fitts, MD

  • Orthopaedic Surgery Physician
  • Durham, NC
  • NPI 1528564465

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1720815111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 POST OAK TRL",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224714",
            "telephone_number": "256-318-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 POST OAK TRL",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224714",
            "telephone_number": "256-318-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVEEASE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "GAMBLE DAVIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "256-318-7811"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew W Reed, M.D.
• Coleman Todd Reeves
• Reliant Renal Care Bessemer Home Choice LLC
• Renal Treatment Centers-Southeast, LP.
• Restoration Faith Based Counseling, Inc
• Mandi Reynolds, CRNP
• Clayton Getz Rice, MD
• Thomas Garrett Rice III, DMD
• Jennifer Rae Riggs, PA
• Right Away Care Home Health and Staffing LLC

• Public Health & General Preventive Medicine Physician in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Public Health & General Preventive Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.