RIDGEWAY FAMILY PRACTICE, PC (NPI# 1679612733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679612733 |
| Entity Type | Organization |
| Organization Name | RIDGEWAY FAMILY PRACTICE, PC |
| Practice Address |
641 Hospital Rd Suite 3 Commerce GA 30529-1155 |
| Practice Telephone | 7063352034 |
| Practice Fax Number | 7063368638 |
| Mailing Telephone | 7063352034 |
| Mailing Fax Number | 7063368638 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | DR. BETH ANN SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 7063352034 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2010001281-58996 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP NUMBER | GRP6629 | 01 |
| GA | 85002412G | 05 |
| Street Address |
641 HOSPITAL RD SUITE 3 |
| City | COMMERCE |
| State | GA |
| Zip Code | 30529-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408997 | Veronica Michelle Patterson | Family Medicine | 641 Hospital Rd, Suite 4, Commerce, GA 30529-1155 | 2005-06-23 |
| 1447612874 | Associated Nephrology of Northeast Georgia LLC | Internal Medicine | 641 Hospital Rd, Suite 2, Commerce, GA 30529-1155 | 2016-03-24 |
| 1013290550 | Wellness First PC | Family Medicine | 641 Hospital Rd, Suite 4, Commerce, GA 30529-1155 | 2011-09-21 |
| 1215143573 | Kaleem Ahmed Md PC | Internal Medicine | 641 Hospital Rd, Suite 2, Commerce, GA 30529-1155 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
| 1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
| 1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
| 1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
| 1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
| 1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
| 1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
| 1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
| 1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
| Find all providers in zip 30529 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891185302 | Jm Family Enterprises, Inc | Clinic/Center | 648 Highway 334, Commerce, GA 30530-5987 | 2015-02-04 |
| 1710236963 | Family First Care of Commerce, LLC | Clinic/Center | 423 Pottery Factory Dr, Commerce, GA 30529-6682 | 2012-09-04 |
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|---|---|---|---|---|
| 1942809108 | Lexington Primary Care LLC | Clinic/Center | 777 Athens Rd, Lexington, GA 30648-1902 | 2020-10-20 |
| 1619575834 | The Iv Spot, LLC. | Clinic/Center | 2100 Parklake Dr Ne # C-5, Atlanta, GA 30345-2824 | 2020-10-09 |
| 1528673514 | Safe Haven Medical Services | Clinic/Center | 444 Racetrack Rd, Mcdonough, GA 30252-6837 | 2020-09-15 |
| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.