REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE
NPI 1285321091
Orthopaedic Surgery in Peachtree City, GA

Active since April 20, 2023
3200 SHAKERAG HL STE A, PEACHTREE CITY, GA 30269(770) 769-1724(770) 708-6599 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Orthopedics Spine & Sports Medicine NPPES

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

REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE (NPI 1285321091) is a healthcare organization registered as an orthopaedic surgery in Peachtree City, Georgia and active in the NPI registry since April 2023. The organization lists Shevin Pollydore, Owner, as its authorized official.

NPPES Registry Identity

NPI1285321091
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameREVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
Location Address3200 SHAKERAG HL STE APeachtree City, GA 30269-6524
Mailing Address939 Bob Arnold Blvd Ste ALithia Springs, GA 30122-3258 · (770) 769-1724 · Fax (770) 708-6599
Fax(770) 708-6599
Organization SubpartNo
Authorized OfficialShevin PollydoreOwner · (770) 769-1724
Enumeration DateApril 20, 2023
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1285321091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPharmacyTaxonomy 333600000X
3200 SHAKERAG HL STE A, Peachtree City, GA 30269

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3200 SHAKERAG HL STE A
PEACHTREE CITY, GA 30269
Chiropractor
3200 SHAKERAG HL STE A
PEACHTREE CITY, GA 30269

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 1285321091. It was assigned to this organization in the NPPES registry on April 20, 2023. 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 3200 Shakerag Hl Ste A, Peachtree City, GA 30269. 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 Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Revive Orthopedics Spine & Sports Medicine, Inc was last updated on November 22, 2023. 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.