Active NPI
Gregory D Dabov, M.D.
- Orthopaedic Surgery Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 15741
- Practice address
- 7545 Airways Blvd
Southaven, MS 38671-5806 - Phone
- (901) 759-3100
- Fax
- (901) 759-3196
- NPI assigned
- Sep 27, 2005
- Last updated
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34061 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | 15741 | MS | Primary |
Addresses
Primary practice location
7545 Airways Blvd
Southaven, MS 38671-5806
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Other practice location 1
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Other practice location 2
1211 Union Ave Ste 500
Memphis, TN 38104-6656
Phone (901) 759-3100
Other practice location 3
8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone (901) 759-3100
Other practice location 4
1458 W Poplar Ave Ste 100
Collierville, TN 38017-0630
Phone (901) 759-3100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851421 | Medicaid | TN | |
| 00122613 | Medicaid | MS | |
| 140940001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
Hospital & facility affiliations
- Accentcare Home Health of Greenwood
- Accentcare Home Health of West Tennessee, LLC
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital Desoto
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.09 of 100
- Quality
- 29.47
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 93.32
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 40 |
| Knee replacement | 106 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15741 | MS | MD | Orthopaedic Surgery Physician |
| 34061 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Orthopedics & Sports, LLC | Current | Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients | |
| CC Bpci PLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2900 12th Ave N
Ste 305E
Billings, MT 59101
Phone (406) 237-5750
Interoperability endpoints
- gdabov@cco1043.srs-direct.com
- gdabov26267@mlh.direct-ci.com
- gregory.dabov.1@1366.direct.athenahealth.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Billings, MT
- NPI 1548447436
-
dba Campbell Clinic MRI
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Germantown, TN
- NPI 1588619944
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
dba AccentCare Home Health of Greenwood
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
-
- Home Health Agency
- Memphis, TN
- NPI 1275259087
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1699761387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3100",
"fax_number": "901-759-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715806",
"telephone_number": "901-759-3100",
"fax_number": "901-759-3196"
}
],
"practiceLocations": [
{
"address_1": "1400 S Germantown Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382205",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Union Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046656",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 Centerview Pkwy Ste 500",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380184254",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1458 W Poplar Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Collierville",
"state": "TN",
"postal_code": "380170630",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DABOV",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "34061",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MS",
"license": "15741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3851421",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122613",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140940001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.