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Revive Hydration and Functional Health LLC

Medical Specialty Clinic/Center in Douglas, GA · enumerated 2024 · authorized official Bobby Guess, Owner.

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

National Provider Identifier

1558128314

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Hydration and Functional Health LLC
Practice address 1150 Ward Street Ext W Ste B1, Douglas, GA, 31533
Fax (866) 611-2696
Enumeration date Feb 28, 2024
Last updated in NPPES Feb 28, 2024

Taxonomy & classification

261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Bobby Guess
Title Owner

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

Where is Revive Hydration and Functional Health LLC located?
The practice location on file with NPPES is in Douglas, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-28. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-28.