Revive Orthopedics Spine & Sports Medicine, Inc
NPI 1306563663 · Multi-Specialty Clinic/Center · Lithia Springs, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Orthopedics Spine & Sports Medicine, Inc is a Multi-Specialty Clinic/Center organization in Lithia Springs, GA (NPI 1306563663).
Provider details
- NPI number
- 1306563663
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shevin Pollydore, Physician/Owner(770) 209-9913
Specialties & taxonomies
Ambulatory Health Care Facilities
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revive Orthopedics Spine & Sports Medicine
Registry dates
- Enumerated
- 2022-10-26
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Frequently asked questions
- What is Revive Orthopedics Spine & Sports Medicine, Inc's NPI number?
- Revive Orthopedics Spine & Sports Medicine, Inc's National Provider Identifier (NPI) is 1306563663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Orthopedics Spine & Sports Medicine, Inc?
- Revive Orthopedics Spine & Sports Medicine, Inc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Orthopedics Spine & Sports Medicine, Inc located?
- Revive Orthopedics Spine & Sports Medicine, Inc's practice location on file with NPPES is 939 Bob Arnold Blvd Ste a, Lithia Springs, GA 30122-3258.
- What is Revive Orthopedics Spine & Sports Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Revive Orthopedics Spine & Sports Medicine, Inc is (770) 209-9913.
- Does Revive Orthopedics Spine & Sports Medicine, Inc accept Medicare?
- Revive Orthopedics Spine & Sports Medicine, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive Orthopedics Spine & Sports Medicine, Inc?
- The authorized official listed on Revive Orthopedics Spine & Sports Medicine, Inc's NPPES record is Shevin Pollydore, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Orthopedics Spine & Sports Medicine, Inc's NPI active?
- Yes — Revive Orthopedics Spine & Sports Medicine, Inc's NPI (1306563663) is active in the NPPES registry as of the last update on 2022-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.