NPI age
3 years
Enumerated 2022-12-01
● Active Type 2 · Organization
Subpart
Revive Orthopedics Spine & Sports Medicine, Inc
Revive Orthopedics Spine & Sports Medicine, Inc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pollydore
Physician/owner
Last NPPES update
2022-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
3 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-12Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
3955 Harrison Rd Ste 200b
Loganville, GA 300528502
Mailing address
3955 Harrison Rd Ste 200b
Loganville, GA 300528502
Authorized official
Shevin D Pollydore, MD
Physician/owner
📞 7702099913
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Revive Orthopedics Spine & Sports Medicine
Practice context
Single-site organization. Only one practice location on file.
Subpart of Revive Orthopedics Spine & Sports Medicine, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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