P Praxis·MD
● Active Type 2 · Organization

Revive Orthopedics Spine & Sports Medicine, Inc

Clinic/Center·Lithia Springs, GA· NPI 1306563663 · Enumerated 2022 · 3 years on NPI
Revive Orthopedics Spine & Sports Medicine, Inc is 1 of 318 clinic/center organizations in Georgia.
NPI age
3 years
Enumerated 2022-10-26
Primary specialty
Clinic/Center
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pollydore
Physician/owner
Last NPPES update
2022-10-26
Source: monthly bulk 2026-05

How this organization compares

Across 318 active clinic/center providers in Georgia.

NPI age
3 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 29% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
939 Bob Arnold Blvd Ste A
Lithia Springs, GA 301223258
📞 7702099913fax 6789028579
Mailing address
939 Bob Arnold Blvd Ste A
Lithia Springs, GA 301223258
📞 7702099913fax 6789028579

Authorized official

Shevin D Pollydore, MD
Physician/owner
📞 7702099913

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM1300X
  • Orthopaedic Surgery
    An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
    taxonomy 207X00000X
  • Orthopaedic Surgery
    An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
    taxonomy 207XX0005X
  • Physical Medicine & Rehabilitation
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    taxonomy 208100000X
  • Physical Medicine & Rehabilitation
    A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be...
    taxonomy 2081P2900X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Revive Orthopedics Spine & Sports Medicine
    Type code 3 recorded 2022-10-26

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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