Revive Orthopedics Spine & Sports Medicine, Inc — NPI 1629765433
Revive Orthopedics Spine & Sports Medicine, Inc’s National Provider Identifier is 1629765433. NPPES classifies this as a Type 2 organization record and reports a practice location in Stockbridge, Georgia. The primary taxonomy is Orthopaedic Surgery Physician.
Key facts
- NPI
- 1629765433
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 218 WILLIS DR
Stockbridge, Georgia 30281 - Practice telephone
- (770) 769-1724
- Primary taxonomy
- Orthopaedic Surgery Physician
- Additional taxonomies
-
- Physical Medicine & Rehabilitation Physician
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Durable Medical Equipment & Medical Supplies
- Pharmacy
- Enumeration date
- April 20, 2023
- NPPES last update
- August 17, 2025
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Revive Orthopedics Spine & Sports Medicine, Inc?
The NPI listed for Revive Orthopedics Spine & Sports Medicine, Inc in the NPPES snapshot is 1629765433. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1629765433 an individual or organization record?
NPPES records NPI 1629765433 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 218 WILLIS DR, Stockbridge, Georgia 30281.
What taxonomy codes are listed for this NPI?
5 taxonomy codes are listed. Primary: Orthopaedic Surgery Physician (207X00000X). Additional: Physical Medicine & Rehabilitation Physician (208100000X); Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X); Durable Medical Equipment & Medical Supplies (332B00000X); Pharmacy (333600000X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of August 17, 2025 and an enumeration date of April 20, 2023, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Stockbridge, Georgia NPI directory and the Georgia NPI directory.
Other published profiles in Stockbridge, GA
Up to ten other profiles this site publishes for Stockbridge, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 48 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.