Individual
MR. JEFFREY J REVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 CENTER STAR RD, COLUMBIA, TN 38401
(931) 626-0117
(931) 380-3640
Mailing address
1530 CENTER STAR ROAD, COLUMBIA, TN 38401
(931) 626-0117
(931) 380-3640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37837
TN
207Q00000X
Family Medicine Physician
35.098156
OH
207Q00000X
Family Medicine Physician
Primary
C3932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056324
—
OH
05
—
3897284
—
TN
Enumeration date
09/07/2005
Last updated
12/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us