NPIMap

Organization Active NPI

Resurgens, LLC

  • Orthopaedic Surgery Physician
  • Acworth, GA
National Provider Identifier
1669981049
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RESURGENS, LLC
Practice address
4450 Calibre Xing NW Ste 1225
Acworth, GA 30101-4103
Phone
(704) 915-4817
Fax
(770) 491-5482
NPI assigned
Sep 28, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Valerie Springer
Title
Credentialing Manager
Phone
(404) 531-8615

Corporate family (same tax ID) 28

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

View all 28

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20180425002813 GA DME Supplier - Physician - General Practice 1153224142 Practice locations: Acworth, GA

National Provider Directory

National Provider Directory
Tax ID family
Resurgens Opc FP14 (29 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4450 Calibre Xing NW Ste 1225
Acworth, GA 30101-4103

Mailing address

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

Other names 1

NPPES NPI Registry
  • Resurgens Orthopaedics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2023.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1669981049",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1225",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014103",
            "telephone_number": "704-915-4817",
            "fax_number": "770-491-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "VALERIE",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.