Individual provider Active NPI

Gary A Levengood, M.D.

  • Orthopaedic Surgery Physician
  • Lawrenceville, GA
National Provider Identifier
1871593285
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
040138 Issued in GA
Practice address
1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone
(770) 237-3475
Fax
(770) 237-3756
NPI assigned
Jul 28, 2005
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 040138 GA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 040138 GA

Addresses

Primary practice location

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925

Mailing address

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (770) 237-3475

Other identifiers 2

IdentifierTypeStateIssuer
200045077OtherGARAILROAD MEDICARE
000665409FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000648 GA Practitioner - Orthopedic Surgery 8921901851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians
Sports Medicine South of Gwinnett LLCGroup PAC ID 9335566967, 14 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (770) 237-3475

1990 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone (678) 689-1100

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000

5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633

966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as individual
Quality
79.73
Improvement activities
40
Cost
73.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement28
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040138GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine South of Gwinnett LLC Sports Medicine CurrentSince Sep 1, 2020 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1900 Riverside Pkwy
Lawrenceville, GA 30043
Phone (770) 237-3475

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1871593285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIVERSIDE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435925",
            "telephone_number": "770-237-3475",
            "fax_number": "770-237-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIVERSIDE PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435925",
            "telephone_number": "770-237-3475",
            "fax_number": "770-237-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENGOOD",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "040138",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "040138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200045077",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000665409F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.