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REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
NPI 1134967995
Clinic/Center - Multi-Specialty in Dunwoody, GA

Active since July 16, 2024
1750 OLD SPRING HOUSE LN STE 205, DUNWOODY, GA 30338(770) 769-1724(770) 708-6599 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Orthopedics Spine & Sports Medicine, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC (NPI 1134967995), doing business as Revive Orthopedics Spine & Sports Medicine, is a healthcare organization registered as a multi-specialty in Dunwoody, Georgia and active in the NPI registry since July 2024. The organization lists Shevin Pollydore, Owner, as its authorized official.

NPPES Registry Identity

NPI1134967995
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
Location Address1750 OLD SPRING HOUSE LN STE 205Dunwoody, GA 30338-6214
Mailing Address939 Bob Arnold Blvd Ste ALithia Springs, GA 30122-3258 · (770) 769-1724
Phone(770) 769-1724
Fax(770) 708-6599
Organization SubpartNo
Authorized OfficialShevin PollydoreOwner · (770) 769-1724
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1134967995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
1750 OLD SPRING HOUSE LN STE 205, Dunwoody, GA 30338
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Other Names 1

Doing Business AsRevive Orthopedics Spine & Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Orthopedics Spine & Sports Medicine, Inc's NPI number?

The NPI number for Revive Orthopedics Spine & Sports Medicine, Inc is 1134967995. It was assigned to this organization in the NPPES registry on July 16, 2024. The provider is doing business as Revive Orthopedics Spine & Sports Medicine.

Where is Revive Orthopedics Spine & Sports Medicine, Inc located?

Revive Orthopedics Spine & Sports Medicine, Inc is located at 1750 Old Spring House Ln Ste 205, Dunwoody, GA 30338. The listed phone number is (770) 769-1724.

What is Revive Orthopedics Spine & Sports Medicine, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Revive Orthopedics Spine & Sports Medicine, Inc was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.