Ronald Lynn McGavic Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

50343 Issued in KY

Practice address

159 Saint Matthews Ave Ste 8
Louisville, KY 40207-3137

Phone

(502) 547-7727

Fax

(502) 369-9961

NPI assigned

Jun 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ronald L McGavic Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in KY, 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

Specialty

Psychiatry

Education

University of Louisville School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mandran Health PLLCGroup PAC ID 1254624588, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mandran Health PLLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1205281862
  Medicare reassignment Care Compare group NPD
• McGavic Psychiatry

  • Psychiatry Physician
  • Shelbyville, KY
  • NPI 1003654252
  NPD Authorized official
• River Region Psychiatry Associates LLC

  dba Ally Psychiatry

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497

  KY

  Medicare reassignment
• Dr Charles Bensenhaver III LLC

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
  • NPI 1962108118
  NPD (past)
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital - psychiatric unit

  • Psychiatric Hospital Unit
  • Somerset, KY
  • NPI 1437210069
  NPD (past)
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  NPD (past)

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

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1649683640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400661115",
            "telephone_number": "502-547-7727",
            "fax_number": "502-369-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SAINT MATTHEWS AVE STE 8",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073137",
            "telephone_number": "502-547-7727",
            "fax_number": "502-369-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Scott Station Rd",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400659752",
            "country_code": "US",
            "telephone_number": "502-547-7727",
            "fax_number": "502-369-9961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGAVIC",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "50343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100362120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "MCGAVIC",
            "middle_name": "L",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael McFarland, LMFT
• Rebecca M McFarland, MD
• Phebe McGaha, CSW
• Kevin Terrence McGann, MD
• Darrell McGaughey
• Ashley M McGee, PHARMD
• James L McGee Jr., LCSW
• Jeffrey Scott McGee, CRNA
• Kandace McGee
• Stephanie Paige McGee, MD

• Psychiatry Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.