Active NPI
Resurgia Health Solutions PC
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1851702153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 066574
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003238842A | Medicaid | GA |
Other names 1
- Resurgia Health Solutions LLC
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Fayetteville, GA
- NPI 1609544493
Locations
1100 Peachtree St NE
Atlanta, GA 30309
Phone (404) 445-5304
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- Fayetteville, GA
- NPI 1609544493
Practitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003238842A",
"state": "GA"
}
],
"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.