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NPI · 1285261123 · NPPES-sourced

Revitalize Hydration Therapy, LLC

ActiveGerontology Nurse Practitioner
NPI Number
1285261123
Type 2 · Organisation
Taxonomy Code
363LG0600X
Contact
(601) 213-0069
Primary practice line
Last Updated
Enumerated
Primary practice addressMS · 39232-9006
885 Liberty Rd Ste 300Flowood, MS 39232-9006
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About this NPIWhat this record shows.

NPI 1285261123 is registered to Revitalize Hydration Therapy, LLC, a healthcare organisation classified as "Gerontology Nurse Practitioner" and located at 885 Liberty Rd Ste 300 in Flowood, Mississippi. The organisation's authorised official is Jennye Mardis. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Revitalize Hydration Therapy, LLC accepts. To confirm in-network status with your specific health plan, contact Revitalize Hydration Therapy, LLC directly at (601) 213-0069.

Frequently asked

Yes. NPI 1285261123 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (601) 213-0069.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Revitalize Hydration Therapy, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LG0600X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
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Same specialtyOther Gerontology Nurse Practitioner providers in Mississippi.

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