Individual provider Active NPI

Le Roy Gurganious, M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, TN
National Provider Identifier
1710097290
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
43870 Issued in TN
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

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2864255OtherFLAETNA HMO
5261266OtherFLAETNA PPO
8913135002OtherFLCIGNA
1508795MedicaidTN
P00084628OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 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
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 172 clinicians

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 Home health agency, Fayetteville, TN, CCN 447247
  • Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
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

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC CurrentSince Nov 18, 2019 Accepting new patients
Amg-Crockett, LLC CurrentSince Nov 18, 2019 Accepting new patients
The Orthopaedic Center Orthopaedic Surgery CurrentSince Nov 10, 2021 Accepting new patients
Family Orthopedic Clinic PLLC Orthopaedic Surgery Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 12, 2023 Accepting new patients
Signify Health, LLC CurrentSince Sep 13, 2022 Accepting new patients
HH Health System - the Orthopaedic Center, LLC Orthopaedic Surgery CurrentSince Sep 16, 2024 Accepting new patients
Central Florida Sports Medicine & Orthopaedic Center Orthopaedic Surgery PastSince Oct 7, 2002 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

  • FHIR API: https://api.platform.athenahealth.com/3767/brand/1/csg/1/fhir/r4
  • Direct secure messaging: leroy.gurganious.toc@toc.direct.systemedx.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.