Organization Active NPI

Revive Healthcare PC

  • Family Medicine Physician
  • High Point, NC
National Provider Identifier
1780339663
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Lawrence Andrew Eskew, MDNPI 1104859305
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.