Revive Orthopedics Spine & Sports Medicine – Multi-Specialty Clinic/Center, NPI 1134967995

Revive Orthopedics Spine & Sports Medicine is a healthcare provider. based in Lithia springs, Georgia. specializing in Multi-Specialty Clinic/Center. The NPI Number for Revive Orthopedics Spine & Sports Medicine is 1134967995

Main info

Organization
Name
Revive Orthopedics Spine & Sports Medicine
NPI
1134967995
Phone
(770) 769-1724
Address
939 BOB ARNOLD BLVD STE A
Authorized Official
SHEVIN POLLYDORE OWNER MD
Enumeration Date
16 July 2024
Last Update Date
16 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Revive Orthopedics Spine & Sports Medicine

  • 939 BOB ARNOLD BLVD STE A

    LITHIA SPRINGS, GA 301223258

    Phone: (770) 769-1724

    Type: Mailing

  • 1750 OLD SPRING HOUSE LN STE 205

    DUNWOODY, GA 303386214

    Phone: (770) 769-1724

    Fax: (770) 708-6599

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30122)

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Reviews

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Frequently asked questions

How do payers reference Revive Orthopedics Spine & Sports Medicine?
For Revive Orthopedics Spine & Sports Medicine, use NPI 1134967995 as the unique 10-digit identifier.
Is there an active status for Revive Orthopedics Spine & Sports Medicine?
For scheduling context, Revive Orthopedics Spine & Sports Medicine is shown as active in the registry.
What kind of doctor is Revive Orthopedics Spine & Sports Medicine?
Revive Orthopedics Spine & Sports Medicine is associated with Multi-Specialty Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Revive Orthopedics Spine & Sports Medicine?
Directory geography for Revive Orthopedics Spine & Sports Medicine centers on Lithia Springs, Georgia.
Can I trust this NPI listing for Revive Orthopedics Spine & Sports Medicine?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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Revive Orthopedics Spine & Sports Medicine

Multi-Specialty Clinic/Center
939 BOB ARNOLD BLVD STE A
NPI: 1306563663