NPIMap

Organization Active NPI

Resurgens, LLC

  • Orthopaedic Surgery Physician
  • Kennesaw, GA
National Provider Identifier
1104953363
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RESURGENS, LLC
Practice address
270 Chastain Rd NW
Kennesaw, GA 30144-3012
Phone
(770) 421-8005
Fax
(770) 424-5662
NPI assigned
Feb 27, 2007
Organization subpart
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930004148 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1153224142 Practice locations: Kennesaw, GA

National Provider Directory

National Provider Directory
Tax ID family
Resurgens Opc FP1429 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X GA Primary

Addresses

Primary practice location

270 Chastain Rd NW
Kennesaw, GA 30144-3012

Mailing address

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

Other names 1

  • Resurgens Orthopaedics Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1104953363",
    "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": "270 CHASTAIN RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443012",
            "telephone_number": "770-421-8005",
            "fax_number": "770-424-5662"
        }
    ],
    "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": "193400000X SINGLE SPECIALTY  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 Kennesaw, 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.

Verify at the official NPI Registry.