Active NPI
Resurgens, LLC
Doing business as Resurgens Orthopaedics
- Orthopaedic Surgery Physician
- McDonough, GA
National Provider Identifier
1073640207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- RESURGENS, LLC
- Doing business as
- Resurgens Orthopaedics
- Practice address
- 156 Foster Dr Ste B
McDonough, GA 30253-5330 - Phone
- (770) 506-4119
- Fax
- (770) 506-4145
- NPI assigned
- Feb 27, 2007
- Last updated
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie R Springer
- Title
- Credentialing Manager
- Phone
- (404) 531-8615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | GA | Primary |
Addresses
Primary practice location
156 Foster Dr Ste B
McDonough, GA 30253-5330
Mailing address
PO Box 21068
Belfast, ME 04915-4107
Phone (404) 847-9999
Other names 1
- Resurgens Orthopaedics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043704 | GA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1153224142 | Practice locations: McDonough, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Resurgens Orthopaedic
Other organizations with this tax ID 33
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Resurgens Orthopaedics
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
-
dba Georgia Physical Therapy & Rehab
- Physical Therapy Clinic/Center
- Alpharetta, GA
- NPI 1124939632
-
dba Venture Physical Therapy of Marietta
- Physical Therapy Clinic/Center
- Marietta, GA
- NPI 1265321319
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1295862928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1073640207",
"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",
"fax_number": "404-531-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 FOSTER DR STE B",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535330",
"telephone_number": "770-506-4119",
"fax_number": "770-506-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESURGENS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "SPRINGER",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "404-531-8615"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Resurgens Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.