1. Home
  2. Directory
  3. Georgia
  4. Loganville
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
NPI 1841900636
Durable Medical Equipment & Medical Supplies in Loganville, GA

Active since December 01, 2022
3955 HARRISON RD STE 200B, LOGANVILLE, GA 30052(770) 209-9913(678) 902-8579 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1841900636), doing business as Revive Orthopedics Spine & Sports Medicine, is a healthcare organization registered as a durable medical equipment & medical supplies in Loganville, Georgia and active in the NPI registry since December 2022. The organization lists Shevin D Pollydore, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1841900636
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameREVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
Location Address3955 HARRISON RD STE 200BLoganville, GA 30052-8502
Mailing Address3955 Harrison Rd Ste 200bLoganville, GA 30052-8502 · (770) 209-9913 · Fax (678) 902-8579
Phone(770) 209-9913
Fax(678) 902-8579
Organization SubpartYes
Authorized OfficialShevin D PollydorePhysician/owner · (770) 209-9913
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1841900636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPharmacyTaxonomy 333600000X
3955 HARRISON RD STE 200B, Loganville, GA 30052
Open in Google Maps ↗

Other Names 1

Doing Business AsRevive Orthopedics Spine & Sports Medicine

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 1841900636. It was assigned to this organization in the NPPES registry on December 1, 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 3955 Harrison Rd Ste 200B, Loganville, GA 30052. 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 Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Revive Orthopedics Spine & Sports Medicine, Inc was last updated on December 1, 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.