Active NPI
Revive Healthcare PC
- Family Medicine Physician
- High Point, NC
National Provider Identifier
1780339663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REVIVE HEALTHCARE PC
- Practice address
- 221 Hillcrest Dr
High Point, NC 27262-3037 - Phone
- (336) 687-4382
- NPI assigned
- Feb 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Andrew Eskew, MD
- Title
- Ceo and Cmo
- Phone
- (336) 687-4382
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
221 Hillcrest Dr
High Point, NC 27262-3037
Mailing address
Revive Healthcare PC
265 Eastchester Drive, Suite 133, # 173
High Point, NC 27262
Phone (336) 687-4382
Other names 1
- ReviveHealth
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Winston Salem, NC
- NPI 1104859305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1780339663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REVIVE HEALTHCARE PC",
"address_2": "265 EASTCHESTER DRIVE, SUITE 133, # 173",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27262",
"telephone_number": "336-687-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 HILLCREST DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623037",
"telephone_number": "336-687-4382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE HEALTHCARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "ESKEW",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "CEO AND CMO",
"authorized_official_telephone_number": "336-687-4382",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ReviveHealth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.