REVIDA RECOVERY CENTERS, PC – NPI #1013483486
Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.
REVIDA RECOVERY CENTERS, PC is a provider located in ABINGDON, VA. NPPES has assigned the NPI number 1013483486 to REVIDA RECOVERY CENTERS, PC on October 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 13 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine
The NPI profile was last updated on Sep 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIDA RECOVERY CENTERS, PC below.
NPI Profile for
REVIDA RECOVERY CENTERS, PC
(more than 7 years ago)
ABINGDON, VA 24210-2912 Phone: (276) 206-8197 Fax:
13 Other location(s):
Fayetteville, TN 37334-2289
Phone: (931) 434-8109
Greeneville, TN 37745-5138
Phone: (423) 820-0432
Hixson, TN 37343-5187
Phone: (423) 243-3342
Fax: (423) 402-8155
Johnson City, TN 37604-1417
Phone: (423) 631-0432
Knoxville, TN 37916-1217
Phone: (865) 633-0353
Knoxville, TN 37918-2469
Phone: (865) 371-8101
Morristown, TN 37813-3871
Phone: (423) 586-3249
Newport, TN 37821-4241
Phone: (423) 623-7043
Oak Ridge, TN 37830-6954
Phone: (865) 276-6212
Sparta, TN 38583-1502
Phone: (931) 222-0139
Tullahoma, TN 37388-2278
Phone: (931) 841-3311
Duffield, VA 24244-5117
Phone: (276) 690-7161
Fax: (276) 690-7246
Wytheville, VA 24382-4448
Phone: (276) 227-0206
NASHVILLE, TN 37203-6911 Phone: Fax:
CEO
Phone: (423) 631-0432
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for REVIDA RECOVERY CENTERS, PC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | TN | Q045064 | |
| medicaid | VA | 1013483486 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QA0401X - Family Medicine / Addiction Medicine (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.