Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Orthopedics Spine & Sports Medicine, Inc

Organization Orthopaedic Surgery Physician · NPI 1134967995

Revive Orthopedics Spine & Sports Medicine, Inc is an Orthopaedic Surgery Physician in Dunwoody, Georgia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1750 Old Spring House Ln Ste 205
Dunwoody, GA 30338-6214
Phone: (770) 769-1724
Fax: (770) 708-6599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1134967995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shevin Pollydore — Owner · (770) 769-1724
Other names Revive Orthopedics Spine & Sports Medicine
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address939 Bob Arnold Blvd Ste A, Lithia Springs, GA 30122-3258