Active NPI
John A Azzato, MD
- Orthopaedic Surgery Physician
- Southport, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20698
- Practice address
- 1513 N Howe St Ste 4
Southport, NC 28461-2770 - Phone
- (910) 805-5578
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 20698 | NC | |
| General Practice Physician | 208D00000X | 20698 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 20698 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 20698 | NC | Primary |
Addresses
Primary practice location
1513 N Howe St Ste 4
Southport, NC 28461-2770
Mailing address
PO Box 11515
Southport, NC 28461-1515
Phone (910) 454-8030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912440 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1513 N Howe St
Suite 4
Southport, NC 28461-2770
Phone (910) 454-8030
Hospital & facility affiliations
- J Arthur Dosher Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20698 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Azzato Clinic, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| John a Azzato MD PC | Independent Medical Examiner | Current | Accepting new patients |
| John a Azzato MD PC | Past | Accepting new patients | |
| Greensboro Heart Center LLC | Past | Accepting new patients |
Locations
1513 N Howe St
Ste 4
Southport, NC 28461
Phone (910) 352-1729
4654 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-0070
1503 E Broad St
Statesville, NC 28625
Phone (704) 871-9731
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Wilmington, NC
- NPI 1407862089
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Southport, NC
- NPI 1639990260
-
- Family Medicine Physician
- Statesville, NC
- NPI 1134573439
-
- Orthopaedic Surgery Physician
- Southport, NC
- NPI 1790045409
Independent Medical Examiner
-
- Sleep Disorder Diagnostic Clinic/Center
- Greensboro, NC
- NPI 1134218845
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1811914435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11515",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284611515",
"telephone_number": "910-454-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 N HOWE ST STE 4",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612770",
"telephone_number": "910-805-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZZATO",
"first_name": "JOHN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "NC",
"license": "20698",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "20698",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "20698",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "20698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912440",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.