NPIMap

Organization Active NPI

Paragon Surgical Specialists, PA

  • Surgery Physician
  • Concord, NC
National Provider Identifier
1992764351
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PARAGON SURGICAL SPECIALISTS, PA
Practice address
200 Medical Park Dr Ste 400
Concord, NC 28025-0939
Phone
(704) 786-1108
Fax
(704) 786-1121
NPI assigned
Mar 22, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Brian SchmidtNPI 1972579019
Title
MD
Phone
(704) 786-1108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

200 Medical Park Dr Ste 400
Concord, NC 28025-0939

Mailing address

200 Medical Park Dr
Ste 400
Concord, NC 28025-2982
Phone (704) 786-1108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000182 NC Part B Supplier - Clinic/Group Practice 4688636657 Receives reassigned benefits from 20 practitioners
Practice locations: Concord, NC

National Provider Directory

National Provider Directory

Locations

200 Medical Park Dr
Ste 400
Concord, NC 28025
Phone (704) 786-1108

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1992764351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "STE 400",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-786-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR STE 400",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250939",
            "telephone_number": "704-786-1108",
            "fax_number": "704-786-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON SURGICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-786-1108"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.