Revora Health LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

REVORA HEALTH LLC

Practice address

5555 Glenridge Connector Ste 200
Office 17TH
Atlanta, GA 30342-4815

Phone

(470) 357-3971

NPI assigned

Mar 16, 2026

Organization subpart

No

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

Authorized official

Name

Hassan JavaidNPI 1366305799

Title

Owner

Phone

(470) 357-3971

Specialties & licenses 1

Addresses

Practitioners 1

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

• Hassan Javaid

  • Physician Assistant
  • Atlanta, GA
  • NPI 1366305799
  NPD Authorized official

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1750238804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR STE 200",
            "address_2": "OFFICE 17TH",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424815",
            "telephone_number": "470-357-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVORA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-357-3971"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B Revilla, MS, RD, LD, CSP
• Revive & Thrive Healthcare LLC
• Revive Counseling & Consulting, LLC
• Revive Healing & Wellness Institute, LLC.
• Revive Private Care
• James C Rewis, MD
• David Antonio Reyes Umpierrez, MD
• Lisa Marie Reyes-Walsh, FNP-BC, PMHNP-BC
• Carmela Reyes, FNP
• Caroline Reyes

• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.