MEDICARE: RESURGENS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1881123578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESURGENS, LLC

Provider Business Mailing Address
First Line	:	1336 HIGHWAY 54 W
Second Line	:	BLDG. 400, STE B
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 HIGHWAY 54 W STE B
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4573
Country	:	US
Telephone Number	:	--
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	VALERIE SPRINGER
Credential	:
Telephone Number	:	404-531-8615

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	01/31/2023

Similar Medicare Providers

1790417533 — FRANCESCA MOKRY JOHNSTON PT, DPT
Practice Location Address:

1336 HIGHWAY 54 W STE C
FAYETTEVILLE, GA
30214-4573

Practice Phone: 770-461-6142
Practice Fax:

1720917131 — LET IT FLO, LLC
Practice Location Address:

3522 HARRISBURG DR
FAYETTEVILLE, NC
28306-4573

Practice Phone: 717-421-3754
Practice Fax:

1750212312 — HOLLY WILLOCK
Practice Location Address:

1255 HIGHWAY 54 W
FAYETTEVILLE, GA
30214-4526

Practice Phone: 770-719-7000
Practice Fax:

1467069021 — JOY EILEEN RILEY LPC, NCC, MA
Practice Location Address:

126 PAVILION PKWY
FAYETTEVILLE, GA
30214-4056

Practice Phone: 770-954-8988
Practice Fax: 317-520-8200

1336792886 — MARCIA LANETTE TIMMONS FNP
Practice Location Address:

105 CARNEGIE PL STE 103
FAYETTEVILLE, GA
30214-5900

Practice Phone: 770-716-7999
Practice Fax: 770-716-8444

1053064998 — A CUT ABOVE SURGICAL ASSISTING, LLC
Practice Location Address:

1265 HIGHWAY 54 W
FAYETTEVILLE, GA
30214-4548

Practice Phone: 404-862-0746
Practice Fax: 470-514-5561

Directions to “RESURGENS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.