Revive Orthopedics Spine & Sports Medicine – Orthopaedic Surgery Physician, NPI 1629765433

Revive Orthopedics Spine & Sports Medicine is a healthcare provider. based in Lithia springs, Georgia. specializing in Orthopaedic Surgery Physician. The NPI Number for Revive Orthopedics Spine & Sports Medicine is 1629765433

Main info

Organization
Name
Revive Orthopedics Spine & Sports Medicine
NPI
1629765433
Phone
(770) 769-1724
Address
939 BOB ARNOLD BLVD STE A
Authorized Official
SHEVIN D. POLLYDORE OWNER MD
Enumeration Date
20 April 2023
Last Update Date
17 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness90
Years active:3State licenses:0Digital endpoints

Provider Addresses for Revive Orthopedics Spine & Sports Medicine

  • 939 BOB ARNOLD BLVD STE A

    LITHIA SPRINGS, GA 301223258

    Phone: (770) 769-1724

    Fax: (770) 708-6599

    Type: Mailing

  • 218 WILLIS DR

    STOCKBRIDGE, GA 302817272

    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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Frequently asked questions

Can I cross-check Revive Orthopedics Spine & Sports Medicine using NPI 1629765433?
NPI 1629765433 belongs to Revive Orthopedics Spine & Sports Medicine; compare other details if you need extra assurance.
Would Revive Orthopedics Spine & Sports Medicine appear as active to a payer?
You can treat Revive Orthopedics Spine & Sports Medicine as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Revive Orthopedics Spine & Sports Medicine?
Revive Orthopedics Spine & Sports Medicine is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Revive Orthopedics Spine & Sports Medicine associated with Lithia Springs?
Public fields place Revive Orthopedics Spine & Sports Medicine around Lithia Springs, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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