NPIMap

Organization Active NPI

Resurgens, LLC

Doing business as Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Roswell, GA
National Provider Identifier
1780711085
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
Doing business as
Resurgens Orthopaedics
Practice address
1285 Hembree Rd
Suite 200-a
Roswell, GA 30076
Phone
(770) 475-2710
Fax
(770) 475-0078
NPI assigned
Feb 27, 2007
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

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 Physician 207X00000X GA Primary

Addresses

Primary practice location

1285 Hembree Rd
Suite 200-a
Roswell, GA 30076

Mailing address

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

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
O20100930011053 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1153224142 Practice locations: Roswell, GA

National Provider Directory

National Provider Directory
Tax ID family
Resurgens Orthopaedic34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

1285 Hembree Rd
Ste 200B
Roswell, GA 30076

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1780711085",
    "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": "1285 HEMBREE RD",
            "address_2": "SUITE 200-A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-475-2710",
            "fax_number": "770-475-0078"
        }
    ],
    "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": "",
            "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 Roswell, 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.