MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR) – Physical Medicine & Rehabilitation Physician, NPI 1184616591

MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR) is a healthcare provider. based in College park, Georgia. specializing in PHYSICAL MEDICINE AND REHABILITATION, INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT, ORTHOPEDIC SURGERY. They hold the professional credentials M.D. FAAPMR. They hold a License No. 045588 (GA). The NPI Number for MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR) is 1184616591

Main info

Male
36 Years Of Experience
Name
MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR)
NPI
1184616591
Phone
(404) 355-0743
Address
1901 PHOENIX BLVD
Enumeration Date
22 August 2005
Last Update Date
21 July 2023

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7707691724
Graduation Year
1990 (36 years ago)
PAC ID
6901975887
Group Practice PAC ID
6204271349
Professional Enrollment ID
I20101207000700
Address ID
GA301223258LI939XXBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

314 PHYSICAL MEDICINE AND REHABILITATION in GA

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Provider Addresses for MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR)

  • Phoenix Boulevard, Crystal Acres, College Park, Clayton County, Georgia, 30349-6429, United States

    SUITE 280

    COLLEGE PARK, GA 303495588

    Phone: (404) 355-0743

    Fax: (770) 991-6477

    Type: Location

  • 2001, Peachtree Road Northeast, Brookwood Hills, Atlanta, Georgia, 30309, United States

    SUITE 705

    ATLANTA, GA 303091476

    Phone: (404) 355-0743

    Fax: (404) 355-2136

    Type: Mailing

  • 939 BOB ARNOLD BLVD STE A

    LITHIA SPRINGS, GA 301223258

    Phone: (770) 769-1724

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: SPR Therapeutics, Inc ($101).

Total Amount

$212

General + Research + Ownership

Payments

9

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101207000700IPhysical Medicine And RehabilitationGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30349)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204271349View full group profile
NameSpecialtyState
Nurse PractitionerGA

Reviews

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Frequently asked questions

Where can patients find MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR)'s NPI?
You can confirm MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR) with NPI 1184616591; it appears in the national provider directory.
Is MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR). Clinical services aligned with this taxonomy classification.
Where is MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR)'s primary listing?
We display College Park, Georgia because that is what the record indicates for MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR).
Is MR. SHEVIN DWIGHT POLLYDORE (M.D. FAAPMR) a real provider?
This page reflects official NPPES data for NPI 1184616591. Always confirm identity and privileges with the practice and licensing boards.

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