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Revive Orthopedics Spine & Sports Medicine, Inc

Multi-Specialty Clinic/Center in Lithia Springs, GA · enumerated 2022 · authorized official Shevin Pollydore, Physician/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306563663

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Orthopedics Spine & Sports Medicine, Inc
Practice address 939 Bob Arnold Blvd Ste A, Lithia Springs, GA, 30122
Phone (770) 209-9913
Fax (678) 902-8579
Enumeration date Oct 26, 2022
Last updated in NPPES Oct 26, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Shevin Pollydore
Title Physician/Owner
Phone (770) 209-9913

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Revive Orthopedics Spine & Sports Medicine, Inc?
NPPES lists Shevin Pollydore (Physician/Owner) as the authorized official for this organization.
What is the NPI number for Revive Orthopedics Spine & Sports Medicine, Inc?
The NPI for Revive Orthopedics Spine & Sports Medicine, Inc is 1306563663, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-26.