Revive Orthopedics Spine & Sports Medicine, Inc
NPI 1629765433 · Orthopaedic Surgery Physician · Stockbridge, GA
Revive Orthopedics Spine & Sports Medicine, Inc is a Orthopaedic Surgery Physician organization in Stockbridge, GA (NPI 1629765433).
Provider details
- NPI number
- 1629765433
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shevin Pollydore, Owner(770) 769-1724
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
- Pharmacy333600000X
Suppliers
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
- Doing business as
- Revive Orthopedics Spine & Sports Medicine
Registry dates
- Enumerated
- 2023-04-20
- Last updated
- 2025-08-17
- Certified
- 2025-08-17
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 1629765433, 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 Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Orthopedics Spine & Sports Medicine, Inc located?
- Revive Orthopedics Spine & Sports Medicine, Inc's practice location on file with NPPES is 218 Willis Dr, Stockbridge, GA 30281-7272.
- 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) 769-1724.
- 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, 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 (1629765433) is active in the NPPES registry as of the last update on 2025-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.