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JOHN A AZZATO MD PC
NPI 1790045409
Orthopaedic Surgery in Southport, NC

Active since May 29, 2012CLIA 34D2047392 · Waiver
1513 N HOWE ST, SUITE 4, SOUTHPORT, NC 28461(910) 805-5578 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John A Azzato Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN A AZZATO MD PC (NPI 1790045409) is a healthcare organization registered as an orthopaedic surgery in Southport, North Carolina and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Jean Phillips, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790045409
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJOHN A AZZATO MD PC
Location Address1513 N HOWE ST, SUITE 4Southport, NC 28461-2769
Mailing AddressPo Box 11505Southport, NC 28461-1505 · (910) 805-5578
Phone(910) 805-5578
Organization SubpartNo
Authorized OfficialJean PhillipsOffice Manager · (910) 805-5578
Enumeration DateMay 29, 2012
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1790045409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 20698
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedIndependent Medical ExaminerTaxonomy 202C00000X · License 20698 (NC)
1513 N HOWE ST, Southport, NC 28461
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Other Identifiers 3

Medicaid8912440NC
Medicare PIN202845NC
Medicare UPINC81520NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2047392

John A Azzato, MD · Southport, NC
Active · expires Sep 23, 2026
CLIA Number34D2047392
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorJohn A. Azzato
Laboratory Phone(910) 805-5578
Laboratory LocationJohn A Azzato, MD1513 N Howe Street, Suite 4, Southport, NC 28461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J. ARTHUR DOSHER MEMORIAL HOSPITAL
Internal Medicine
1513 N HOWE ST, STE 6
SOUTHPORT, NC 28461
Brunswick County (910) 457-9127
GALLOWAY SANDS, LLC
Pharmacy (Community/Retail Pharmacy)
1513 N HOWE ST, SUITE 8
SOUTHPORT, NC 28461
Brunswick County (910) 454-9090
DOUGLAS K HILTZ MD
Internal Medicine
1513 N HOWE ST, UNIT 6
SOUTHPORT, NC 28461
Brunswick County (910) 457-9127
MATTHEW JOHN LANDFRIED MD
Orthopaedic Surgery
1513 N HOWE ST
SOUTHPORT, NC 28461
Brunswick County (910) 454-8030
SOUTHPORT INTERNAL MEDICINE PA
Internal Medicine
1513 N HOWE ST, UNIT 6
SOUTHPORT, NC 28461
Brunswick County (910) 457-9127
EUGENE W DESLAURIERS PT
Physical Therapist
1513 N HOWE ST, SUITE 4
SOUTHPORT, NC 28461
Brunswick County (910) 454-8030
DIANE JUDA RPH
Pharmacist
1513 N HOWE ST, SUITE 8
SOUTHPORT, NC 28461
Brunswick County (910) 454-9090
TOTAL RENAL CARE OF NORTH CAROLINA LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1513 N HOWE ST, STE 15
SOUTHPORT, NC 28461
Brunswick County (910) 454-0273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John A Azzato MD PC's NPI number?

The NPI number for John A Azzato MD PC is 1790045409. It was assigned to this organization in the NPPES registry on May 29, 2012.

Where is John A Azzato MD PC located?

John A Azzato MD PC is located at 1513 N Howe St Suite 4, Southport, NC 28461. The listed phone number is (910) 805-5578.

What is John A Azzato MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does John A Azzato MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2047392) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John A Azzato MD PC was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.