NPIMap

Organization Active NPI

Resurgens, LLC

Doing business as Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Canton, GA
National Provider Identifier
1053849448
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RESURGENS, LLC
Doing business as
Resurgens Orthopaedics
Practice address
1495 Hickory Flat Hwy Ste 200
Canton, GA 30115-4229
Phone
(678) 505-4455
Fax
(678) 505-4446
NPI assigned
May 30, 2017
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RESURGENS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie Springer
Title
Credentialing Manager
Phone
(404) 531-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1495 Hickory Flat Hwy Ste 200
Canton, GA 30115-4229

Mailing address

PO Box 21068
Belfast, ME 04915-4107
Phone (404) 847-9999

Other names 1

  • Resurgens Orthopaedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000595 GA Part B Supplier - Clinic/Group Practice 1153224142 Receives reassigned benefits from 259 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, GA; Roswell, GA; Griffin, GA; Griffn, GA; Johns Creek, GA; Kennesaw, GA; Lawrenceville, GA; Marietta, GA…
O20180322002297 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1153224142 Practice locations: Canton, GA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Resurgens Orthopaedic

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1053849448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21068",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154107",
            "telephone_number": "404-847-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154229",
            "telephone_number": "678-505-4455",
            "fax_number": "678-505-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESURGENS, LLC",
        "enumeration_date": "2017-05-30",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "404-531-8615"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurgens Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resurgens Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.