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

Revive Orthopedics Spine & Sports Surgery Center Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1972283141

Revive Orthopedics Spine & Sports Surgery Center Inc is an Ambulatory Surgical Clinic/Center in Lithia Springs, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

939 Bob Arnold Blvd Ste D
Lithia Springs, GA 30122-3258
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

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1972283141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shevin Pollydore — Ceo · (770) 769-1724
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address939 Bob Arnold Blvd Ste A, Lithia Springs, GA 30122-3258

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