Active NPI
Le Roy Gurganious, M.D.
- Orthopaedic Surgery Physician
- Fayetteville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 43870
- Practice address
- 108 Medical Center Blvd
Suite 100
Fayetteville, TN 37334-2741 - Phone
- (931) 433-1102
- Fax
- (931) 433-0522
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 43870 | TN | Primary |
Addresses
Primary practice location
108 Medical Center Blvd
Suite 100
Fayetteville, TN 37334-2741
Mailing address
108 Medical Center Blvd
Suite 100
Fayetteville, TN 37334-2741
Phone (931) 433-1102
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864255 | Other | FL | AETNA HMO |
| 5261266 | Other | FL | AETNA PPO |
| 8913135002 | Other | FL | CIGNA |
| 1508795 | Medicaid | TN | |
| P00084628 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081006000543 | TN | Practitioner - Orthopedic Surgery | 3173425204 | Reassigns benefits to 3 organizations |
| I20230124002894 | AL | Practitioner - Orthopedic Surgery | 3173425204 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Boston University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HH Health System - the Orthopaedic Center LLC
Practice addresses (Care Compare)
2330 Thornton Taylor Pkwy
Suite B
Fayetteville, TN 37334-3673
Phone (256) 539-2728
927 Franklin St SE
FL 4
Huntsville, AL 35801-4305
Phone (256) 539-2728
Hospital & facility affiliations
- Lincoln Medical Home Health and Hospice
- Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 23 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Crockett, LLC | Current | Accepting new patients | |
| Amg-Crockett, LLC | Current | Accepting new patients | |
| The Orthopaedic Center | Orthopaedic Surgery | Current | Accepting new patients |
| Family Orthopedic Clinic PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Central Florida Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
927 Franklin St SE
Fl 4
Huntsville, AL 35801
927 Franklin St SE
Fl 1
Huntsville, AL 35801
927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000
2330 Thornton Taylor Pkwy
Ste B
Fayetteville, TN 37334
Phone (931) 227-4984
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
10810 Parkside Dr
Ste 109
Knoxville, TN 37934
Phone (865) 218-7480
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://api.platform.athenahealth.com/3767/brand/1/csg/1/fhir/r4
- leroy.gurganious.toc@toc.direct.systemedx.com
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
- kit6234@yourcarecommunity.org
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
AL, Orthopaedic Surgery, TN
-
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1891580858
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1518164235
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1265622203
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fayetteville, TN
- NPI 1942045141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1710097290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MEDICAL CENTER BLVD",
"address_2": "SUITE 100",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342741",
"telephone_number": "931-433-1102",
"fax_number": "931-433-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MEDICAL CENTER BLVD",
"address_2": "SUITE 100",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342741",
"telephone_number": "931-433-1102",
"fax_number": "931-433-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURGANIOUS",
"first_name": "LE ROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "43870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2864255",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5261266",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8913135002",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508795",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00084628",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.