Andres R Fleury-Guzman, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2014-02230 Issued in NC

Practice address

603 Beaman St
Suite 300
Clinton, NC 28328-2650

Phone

(910) 596-6113

Fax

(910) 596-6114

NPI assigned

Apr 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

General Surgery

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sampson Regional Professional Services LLCGroup PAC ID 6406992817, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andres-fleury@sampsonrps.e-mdsdirect.com

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.

• Sampson Regional Professional Services LLC.

  • Family Medicine Physician
  • Clinton, NC
  • NPI 1730311648
  Medicare reassignment Care Compare group NPD
• Sampson Regional Professional Services, LLC

  • Surgery Physician
  • Clinton, NC
  • NPI 1760744361
  NPD
• Sampson Regional Professional Services LLC

  • Family Nurse Practitioner
  • Clinton, NC
  • NPI 1073749131
  NPD (past)

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

• Sampson Regional Medical Center

  • General Acute Care Hospital
  • Clinton, NC
  • NPI 1609857432
  Care Compare affiliation

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1881867992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST",
            "address_2": "SUITE 300",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282650",
            "telephone_number": "910-596-6113",
            "fax_number": "910-596-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST",
            "address_2": "SUITE 300",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282650",
            "telephone_number": "910-596-6113",
            "fax_number": "910-596-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURY-GUZMAN",
        "first_name": "ANDRES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2014-02230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andres-fleury@sampsonrps.e-mdsdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sampson Surgical Services",
            "affiliationName": "Sampson Regional Professional Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 Beaman St",
            "address_2": "Suite 300",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamelia Elaine Faison-Davis
• Family First Support Center Inc
• Family Medical Supply LLC
• Joshua Ferrell, M.D.
• Susie Fitzgerald, DO
• FLR Counseling LLC
• Forest Trail of Clinton, LLC
• Fuller & Associates VII PLLC
• Rashida Asha Fuller, LCSW-A
• Derrick Cornelius Fullwood

• Surgery Physician in Clinton, NC
• Providers in Clinton, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.