Individual provider Active NPI

Lauryn Camille Gabby, MD

  • Maternal & Fetal Medicine Physician
  • Johnson City, TN
National Provider Identifier
1003330572
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
69040 Issued in TN
Practice address
2335 Knob Creek Rd Ste 100
Johnson City, TN 37604-2002
Phone
(423) 430-9942
NPI assigned
Jul 27, 2017
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 69040 TN
Obstetrics & Gynecology Physician 207V00000X A151539 CA
Maternal & Fetal Medicine Physician 207VM0101X A151539 CA
Maternal & Fetal Medicine Physician 207VM0101X 69040 TN Primary

Addresses

Primary practice location

2335 Knob Creek Rd Ste 100
Johnson City, TN 37604-2002

Mailing address

1930 Alcoa Hwy Ste 435
Knoxville, TN 37920-1520

Other practice location 1

1200 N State St
Clinic Tower, IPT C3F107
Los Angeles, CA 90033
Phone (323) 409-8848

Other practice location 2

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200811003471 CA Practitioner - Obstetrics/Gynecology 2466878210 Reassigns benefits to 1 organization
I20240116000138 TN Practitioner - Obstetrics/Gynecology 2466878210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Irvine, California College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Risk Obstetrical Consultants, PLLCGroup PAC ID 8729137021, 12 clinicians

Practice addresses (Care Compare)

2335 Knob Creek Rd
Suite 100
Johnson City, TN 37604-2002
Phone (423) 430-9942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151539CAMDMaternal & Fetal Medicine Physician
69040TNMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Obstetrics & Gynecology CurrentSince Jun 30, 2020 Accepting new patients
Regents of the University of California CurrentSince Jun 30, 2020 Accepting new patients
High Risk Obstetrical Consultants, PLLC Maternal & Fetal Medicine CurrentSince Dec 13, 2023 Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2335 Knob Creek Rd
Ste 100
Johnson City, TN 37604
Phone (423) 282-5332

1930 Alcoa Hwy
Ste 435
Knoxville, TN 37920
Phone (865) 263-2400

1930 Alcoa Hwy
Ste A435
Knoxville, TN 37920
Phone (865) 263-2400

Networks

  • MS PPO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • KY PPO
  • TN PPO C-SNP
  • MS PPO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • KY PPO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1003330572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 435",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 KNOB CREEK RD STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042002",
            "telephone_number": "423-430-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "Clinic Tower, IPT C3F107",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90033",
            "country_code": "US",
            "telephone_number": "323-409-8848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABBY",
        "first_name": "LAURYN",
        "middle_name": "CAMILLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "69040",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A151539",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A151539",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "69040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.