NPIMap

Organization Active NPI

Resurgens, LLC

Doing business as Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1386697928
Registry record updated Feb 6, 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
5671 Peachtree Dunwoody Rd Ste 900
Atlanta, GA 30342-5022
Phone
(404) 847-9999
Fax
(404) 531-8466
NPI assigned
May 17, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 Physician 207X00000X NU Primary

Addresses

Primary practice location

5671 Peachtree Dunwoody Rd Ste 900
Atlanta, GA 30342-5022

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
CC5961OtherGAMEDICARE RAILROAD GROUP PTAN
300025978AMedicaidGA
CH1087OtherGAMEDICARE RAILROAD GROUP PTAN
CG1065OtherGAMEDICARE RAILROAD GROUP PTAN

Other names 1

  • Resurgens Orthopaedics Doing business as

Medicare participation

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

Enrollment records 1

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
Practice locations: Fayetteville, GA; Roswell, GA; Griffin, GA; Griffn, GA; Johns Creek, GA; Kennesaw, GA; Lawrenceville, GA; Marietta, 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

Locations

1495 Hickory Flat Hwy
Ste 200
Canton, GA 30115
Phone (678) 505-4455

15 Reinhardt College Pkwy
Canton, GA 30114
Phone (678) 505-4455

772 Maddox Dr
East Ellijay, GA 30540
Phone (770) 350-8060

124 W College St
Griffin, GA 30224
Phone (678) 688-5245

270 Chastain Rd NW
Kennesaw, GA 30144
Phone (678) 594-6080

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

1600 Medical Way
Ste 150
Snellville, GA 30078
Phone (770) 978-5328

Practitioners & affiliated clinicians

Practitioners 334

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 334

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1386697928",
    "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": "5671 PEACHTREE DUNWOODY RD STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425022",
            "telephone_number": "404-847-9999",
            "fax_number": "404-531-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PTAN",
            "identifier": "CC5961",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025978A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PTAN",
            "identifier": "CH1087",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PTAN",
            "identifier": "CG1065",
            "state": "GA"
        }
    ],
    "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 Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.