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REVIVE ORTHOPEDICS SPINE & SPORTS SURGERY CENTER INC
NPI 1972283141
Clinic/Center - Ambulatory Surgical in Lithia Springs, GA

Active since July 21, 2023
939 BOB ARNOLD BLVD STE D, LITHIA SPRINGS, GA 30122(770) 769-1724(770) 708-6599 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Revive Orthopedics Spine & Sports Surgery Center Inc NPPES

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

REVIVE ORTHOPEDICS SPINE & SPORTS SURGERY CENTER INC (NPI 1972283141) is a healthcare organization registered as an ambulatory surgical in Lithia Springs, Georgia and active in the NPI registry since July 2023. The organization lists Shevin D. Pollydore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972283141
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameREVIVE ORTHOPEDICS SPINE & SPORTS SURGERY CENTER INC
Location Address939 BOB ARNOLD BLVD STE DLithia Springs, GA 30122-3258
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 D. PollydoreCeo · (770) 769-1724
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1972283141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
939 BOB ARNOLD BLVD STE D, Lithia Springs, GA 30122
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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 Surgery Center Inc's NPI number?

The NPI number for Revive Orthopedics Spine & Sports Surgery Center Inc is 1972283141. It was assigned to this organization in the NPPES registry on July 21, 2023.

Where is Revive Orthopedics Spine & Sports Surgery Center Inc located?

Revive Orthopedics Spine & Sports Surgery Center Inc is located at 939 Bob Arnold Blvd Ste D, Lithia Springs, GA 30122. The listed phone number is (770) 769-1724.

What is Revive Orthopedics Spine & Sports Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Revive Orthopedics Spine & Sports Surgery Center Inc was last updated on July 21, 2023. 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.