Active NPI
Orthopaedic Surgery Center of Panther Creek LLC
- Ambulatory Surgical Clinic/Center
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. George Hadley Callaway, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2180579 | Orthopaedic Surgery Center of | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1013910850
-
- Surgery of the Hand (Surgery) Physician
- Raleigh, NC
- NPI 1497079016
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.