Organization Active NPI

Orthopaedic Surgery Center of Panther Creek LLC

  • Ambulatory Surgical Clinic/Center
  • Cary, NC
National Provider Identifier
1639701980
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ORTHOPAEDIC SURGERY CENTER OF PANTHER CREEK LLC
Practice address
6715 McCrimmon Pkwy Ste 100
Cary, NC 27519-1916
Phone
(919) 582-3050
Fax
(919) 582-3051
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Mr. George Hadley Callaway, MDNPI 1013910850
Title
Managing Member
Phone
(919) 863-6801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6715 McCrimmon Pkwy Ste 100
Cary, NC 27519-1916

Mailing address

6715 McCrimmon Pkwy
Cary, NC 27519-1916
Phone (919) 863-6801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201028001150 NC Part B Supplier - Ambulatory Surgical Center 2163832429 Practice locations: Cary, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Orthopaedic Surgeryc Enter of Panther Creek LLCCCN 34C0001213
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2180579Orthopaedic Surgery Center of6715 McCrimmon Parkway, Cary, NC 27519Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

6715 McCrimmon Pkwy
Ste 100
Cary, NC 27519

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1639701980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 MCCRIMMON PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191916",
            "telephone_number": "919-863-6801",
            "fax_number": "919-863-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 MCCRIMMON PKWY STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191916",
            "telephone_number": "919-582-3050",
            "fax_number": "919-582-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY CENTER OF PANTHER CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-07-01",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HADLEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-863-6801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.