NPIMap

Organization Active NPI

Resurgia Health Solutions PC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1851702153
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
066574 Issued in GA
Legal business name
RESURGIA HEALTH SOLUTIONS PC
Practice address
1100 Peachtree St NE
Suite 200
Atlanta, GA 30309-4501
Phone
(404) 445-5304
Fax
(404) 445-5173
NPI assigned
May 8, 2014
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Kevin Charles
Title
GM
Phone
(404) 445-5304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 066574 GA Primary

Addresses

Primary practice location

1100 Peachtree St NE
Suite 200
Atlanta, GA 30309-4501

Mailing address

1100 Peachtree St NE
Suite 200
Atlanta, GA 30309-4501
Phone (404) 445-5304

Other practice location 1

1233 Highway 54 W Ste 130
Fayetteville, GA 30214-4542
Phone (404) 445-5304

Other names 1

  • Resurgia Health Solutions LLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address resurgia@RHSL-GA.direct.office.nextgen.com Direct
Direct Messaging Address resurgia@RHSL-GA.direct.office.nextgen.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813002730 GA Part B Supplier - Clinic/Group Practice 2668699760 Receives reassigned benefits from 25 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
Resurgia Health Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1100 Peachtree St NE
Atlanta, GA 30309
Phone (404) 445-5304

Interoperability endpoints

  • Direct secure messaging: resurgia@rhsl-ga.direct.office.nextgen.com

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1851702153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094501",
            "telephone_number": "404-445-5304",
            "fax_number": "404-445-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094501",
            "telephone_number": "404-445-5304",
            "fax_number": "404-445-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Highway 54 W Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144542",
            "country_code": "US",
            "telephone_number": "404-445-5304",
            "fax_number": "404-445-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESURGIA HEALTH SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "404-445-5304"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "066574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "resurgia@RHSL-GA.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 Peachtree St NE",
            "address_2": "Suite 200",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303094501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "resurgia@RHSL-GA.direct.office.nextgen.com",
            "affiliation": "N",
            "address_1": "1233 Highway 54 W Ste 130",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302144542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Resurgia Health Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.