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Re Vivify MD Health and Wellness Center

Family Medicine Physician in Atlanta, GA · enumerated 2026 · authorized official Nijah Burris, Family and Aesthetic Medicine.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023949617

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Registry record

Entity type Organization (Type 2)
Legal business name Re Vivify MD Health and Wellness Center
Practice address 898 Oak St Sw, Atlanta, GA, 30310
Fax (678) 850-3509
Enumeration date May 25, 2026
Last updated in NPPES May 25, 2026

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207QP0002X Physician Nutrition Specialist (Family Medicine) Allopathic & Osteopathic Physicians Secondary
207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Nijah Burris
Title Family and Aesthetic Medicine

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-25. Verify at npiregistry.cms.hhs.gov.
Where is Re Vivify MD Health and Wellness Center located?
The practice location on file with NPPES is in Atlanta, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-25.