Individual provider Active NPI

John A Azzato, MD

  • Orthopaedic Surgery Physician
  • Southport, NC
National Provider Identifier
1811914435
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20698 Issued in NC
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

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8912440MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000338 NC Practitioner - Orthopedic SurgeryPractitioner - General Practice 1052209533 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Southport, NC

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: General Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Azzato Clinic, PLLCGroup PAC ID 9436674066, 2 clinicians

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 Hospital, Southport, NC, CCN 341327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20698NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Azzato Clinic, PLLC Orthopaedic Surgery CurrentSince Feb 4, 2025 Accepting new patients
John a Azzato MD PC Independent Medical Examiner CurrentSince May 25, 2012 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.

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.