NPIMap

Individual provider Active NPI

Purushotham Gorrey, M.D.

  • Hospitalist Physician
  • Fayetteville, NC
National Provider Identifier
1124044771
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2011-01467 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 615-5610
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital System Inc 581 clinicians
North Carolina MG LLC 723 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (984) 215-4000

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Johnston Health Hospital, Smithfield, NC, CCN 340090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20131212001475 NC Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Hospitalist 0547267981 Reassigns benefits to 4 organizations
I20240329001425 FL Practitioner - Hospitalist 0547267981 Reassigns benefits to 2 organizations
I20250306002425 VA Practitioner - Internal Medicine 0547267981 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40269KYMDEmergency Medicine Physician

Practice roles (17 of 19)

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Hospitalist CurrentSince May 17, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Feb 18, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Feb 18, 2025 Accepting new patients
Bladen Healthcare LLC CurrentSince May 17, 2025 Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince Mar 22, 2024 Accepting new patients
North Carolina MG, LLC Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 21, 2023 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Jun 2, 2024 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Mar 22, 2024 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Bladen Healthcare, LLC Hospitalist CurrentSince May 17, 2025 Accepting new patients
Rex Hospital Inc Past Accepting new patients
Southern Medical Partners, LLC Emergency Medicine Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2138 Veterans Pkwy
Clayton, NC 27520
Phone (919) 585-8000

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pgorrey135949@capefearvalley.direct-ci.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40269 KY
Internal Medicine Physician 207R00000X 2011-01467 NC
Hospitalist Physician 208M00000X 2011-01467 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

277 Roy Campbell Dr
Hazard, KY 41701-9485
Phone (606) 435-1708

Other practice location 1

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7189

Other practice location 2

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Other practice location 3

501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 615-4825

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
40269OtherKYMD LICENSURE
64129406MedicaidKY

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address pgorrey101722@direct.UNC.nchie.net Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2025.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1124044771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 ROY CAMPBELL DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019485",
            "telephone_number": "606-435-1708",
            "fax_number": "606-435-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-7189",
            "fax_number": "919-934-1761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379375",
            "country_code": "US",
            "telephone_number": "910-615-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORREY",
        "first_name": "PURUSHOTHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "40269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01467",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2011-01467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSURE",
            "identifier": "40269",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64129406",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgorrey101722@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.