Southern Tennessee Orthopedic & Spine Centers

Our Team 


Le Roy Gurganious, MD, MPH

Dr. Gurganious received his medical degree from Boston University in Boston, MA and completed his orthopedic residency at Yale University in New Haven, CT.  He completed a sports medicine Fellowship in Birmingham, AL where he was an associate team physician for Auburn University.  He also obtained his Master of Public Health from Harvard School of Public Health in Boston, MA.  Dr. Gurganious specializes in sports medicine, ACL reconstruction, correction of meniscus pathology, correction of ligament and tendon injuries, trigger finger surgery, carpel tunnel release, total joint replacement, and treatment of fractures. 

James D. Barksdale, DPM

Dr. Barksdale is a graduate of the University of North Alabama in Florence, Alabama and he received his medical degree from the New York College of Podiatric Medicine in New York, New York.  He completed his podiatric residency from New York Presbyterian in Queens, New York.  He specializes in fractures of the foot and ankle, reconstructive surgery of the foot, bunion and hammertoe treatment, congenital foot deformity correction, diabeticfoot care, sports medicine, and treatment of common foot conditions such as heel pain/plantar fasciitis, ingrown toenails, corns, calluses, bone spurs and more.

Doug Ead, FNP-C


  • Sports physicals

  • Treatment of sports injuries

  • Sports Medicine 

  • Sprains and strains

  • Casting and treatment of fractures

  • Joint injections

  • Treatment of arthritis

  • Wound care 

To schedule an appointment, call (931) 762-4400


Dr. Derek Riley I Pulaski 

Talented, Innovative, and Proven

Our Pulaski location is led by the innovative mind of Dr. Derek Riley. A new comer to the area, Dr. Riley is quickly becoming the most popular orthopedic surgeon in southern Tennessee Regional's stable of talent. Having Dr. Riley based in the heart of our Pulaski Campus means that the citizens of Giles County no longer need to buckle up and drive to a major metropolitan city to receive modern orthopedic care. 

Whether you are experiencing the nagging pains of wear and tear or you've suffered a horrific injury, don't let pain keep you out of the game. Dr. Riley and the team at Southern Tennessee Orthopedic and Spine Center in Pulaski have the talent, skill, and desire to return you to the active lifestyle you enjoy.


  • Strength Improvement

  • Sports Medicine

  • Strains and Sprains

  • Joint Injections 

  • Fracture Care

  • Ligament, Tendon, and Muscle Repair

  • Joint Replacement Surgery

  • Diabetic Foot Care Enhanced Performance 


Dr. McClure I Winchester 

Educated, Skilled, and Experienced

A highly skilled surgeon, Dr. McClure completed his undergraduate work at David Lipscomb with a Bachelor of Science degree in Biochemistry.  He received his Doctor of Medicine degree from Vanderbilt University's School of Medicine in 1988. After completing his internship in General Surgery at The University of Tennessee in Memphis, he went on to a residency in orthopedic surgery from UT's Campbell Clinic. Shortly after, Dr. McClure completed a fellowship in Adult Reconstructive & Joint Preservation Surgery at the Washington University in St. Louis. He has certifications from the American Board of Orthopedic Surgery, American Board of Orthopedic Surgery CAQ Sports Medicine, and has society membership with American Academy of Orthopedic Surgeons, American Orthopedic Foot and Ankle, and American Association of Hip and Knee Surgeons. 

Dr. Bagby I Winchester 

Practical, Experienced, and Respected

With over 35 years of dedication and service, "local" is not a strong enough word to describe Dr. Bagby's connection to Franklin County. From total joint replacements to fractures and back pain, Dr. Bagby has worked closely with the leadership in our community and has been instrumental in several major improvements in the quality of our local healthcare system. As Medical Director of Inpatient Rehabilitation, Dr. Bagby's leadership has been a cornerstone of our incredible growth in the last few years. 

Dr. Fiala  I   Winchester/Tullahoma

Experinced, Skilled, and Talented

Dr. Martin J. Fiala received his undergraduate degree from Carleton University and his medical degree from the University of Ottawa in Ottawa, Ontario, Canada.  He completed his internship and residency at the University of Ottawa and a hand and wrist/hip and knee arthroplasty fellowship at Ottawa General Hospital.  Dr. Fiala is board certified by the American Board of Orthopedic Surgery and member of the American Association of Hand Surgery.  Dr. Fiala has more than twenty years of orthopedic experience and specializes in knee and hip replacement, sports injuries and surgery, fractures, trauma, shoulders, hand and wrist, and arthroscopic surgery.

Southern Tennessee Orthopedic and Spine Centers