NPI 1023949617

Re Vivify MD Health and Wellness Center

Organisation Family Medicine Physician Atlanta, GA

Practice location

Address: 898 Oak St SW, Atlanta, GA 30310-1959
Phone: (678) 850-3509
Fax: (678) 850-3509
Mailing address: 898 Oak St SW Unit 3425, Atlanta, GA 30310-1974

Authorised official

Name: Nijah Burris
Title: Family and Aesthetic Medicine
Phone: (678) 850-3509

Registered specialties (5)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

Adult Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X

Geriatric Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X

Physician Nutrition Specialist (Family Medicine)

Allopathic & Osteopathic Physicians Taxonomy 207QP0002X

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X

Registry record

NPI: 1023949617
Entity type: Organization
NPI issued: 25 May 2026
Record last updated: 25 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.