REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
NPI 1306563663
Clinic/Center - Multi-Specialty in Lithia Springs, GA

Q: 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.

Active since October 26, 2022

939 BOB ARNOLD BLVD STE A, LITHIA SPRINGS, GA 30122(770) 209-9913(678) 902-8579 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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 1306563663), doing business as Revive Orthopedics Spine & Sports Medicine, is a healthcare organization registered as a multi-specialty in Lithia Springs, Georgia and active in the NPI registry since October 2022. The organization lists Shevin D Pollydore, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1306563663

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameREVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC

Location Address939 BOB ARNOLD BLVD STE ALithia Springs, GA 30122-3258

Mailing Address939 Bob Arnold Blvd Ste ALithia Springs, GA 30122-3258 · (770) 209-9913 · Fax (678) 902-8579

Phone(770) 209-9913

Fax(678) 902-8579

Organization SubpartNo

Authorized OfficialShevin D PollydorePhysician/owner · (770) 209-9913

Enumeration DateOctober 26, 2022

NPPES CertifiedOctober 26, 2022

✔ NPI 1306563663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

939 BOB ARNOLD BLVD STE A, Lithia Springs, GA 30122

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MR. SHEVIN DWIGHT POLLYDORE M.D. FAAPMR

Physical Medicine & Rehabilitation

939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122

Douglas County (770) 769-1724

SONYA KHURANA

Orthopaedic Surgery (Hand Surgery)

939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122

Douglas County (770) 769-1724

PRAVEER SRIVASTAVA MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122

Douglas County (770) 769-1724

MATTHEW IGBINIGIE MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122

Douglas County (770) 769-1724

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 1306563663. It was assigned to this organization in the NPPES registry on October 26, 2022. 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 939 Bob Arnold Blvd Ste A, Lithia Springs, GA 30122. The listed phone number is (770) 209-9913.

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.

What insurance does Revive Orthopedics Spine & Sports Medicine, Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Revive Orthopedics Spine & Sports Medicine, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Orthopedics Spine & Sports Medicine, Inc was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.