DR. CHARLES L RIDLEY III


Address: 2266 Ingleside Ave, Macon, GA 31204-2032
Phone: 4787456050

DR. CHARLES L RIDLEY III (NPI# 1992718175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992718175
Entity Type Individual
Full Name DR. CHARLES L RIDLEY III
Credential M.D.
Practice Address 2266 Ingleside Ave
Macon
GA 31204-2032
Practice Telephone 4787456050
Mailing Telephone 4787456050
Enumeration Date 2006-08-15
Last Update Date 2008-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 025476 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA BLUE CROSS BLUE SHIELD 279620 01

Other Providers CHARLES RIDLEY

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1386010676 Charles Robert Ridley Psychologist 3201 University Dr E, Suite 200, Bryan, TX 77802-3475 2015-08-20
1518242114 Charles Fred Ridley Social Worker 1031 Ives Dairy Rd, Suite 228, Miami, FL 33179-2538 2011-10-14

Office Location

Street Address 2266 INGLESIDE AVE
City MACON
State GA
Zip Code 31204-2032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942775085 Amy Lynn Miller Counselor 890 Northwoods Plaza/burrus Road, Macon, GA 31204 2018-10-04
1275056566 Kenyada Moss Counselor 762 Thurmond Dr., Macon, GA 31204 2017-07-19
1508303876 Amber Foster Counselor 890 Northwoods Plaza, Macon, GA 31204 2017-01-25
1952757585 Sarah Vanselous Spencer Speech-Language Pathologist 2720 Sheraton Dr # D-140, Macon, GA 31204 2016-05-12
1952706343 Matthew Wayne Frazier Pharmacist 4260 Log Cabin Dr, Macon, GA 31204 2014-10-28
1215338587 Sharon Yvette Flewellen Licensed Practical Nurse 1876 Moore Street, Macon, GA 31204 2014-09-05
1336565647 Accel Wellness Center, LLC Specialist 3083 Vineville Avenue, Macon, GA 31204 2014-03-11
1821439811 Irene Gung Ho Physician Assistant 3203 Vineville Ave Ste A, Macon, GA 31204 2013-07-08
1518125657 Jennifer Burns Marriage & Family Therapist 116 Pierce Avenue, Macon, GA 31204 2008-05-27
1255599346 Methodist Home of The South Georgia Conference, Inc. Voluntary or Charitable 304 Pierce Avenue, Macon, GA 31204 2008-05-27
Find all providers in zip 31204

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174011811 Frances Barnes Grant Internal Medicine 1842 Waverland Cir, Macon, GA 31211-1116 2018-04-27
1639666340 Yasameen Emad Muzahim Internal Medicine 777 Hemlock Street, Msc 165, Macon, GA 31201 2018-04-18
1598295719 Lori Starr Internal Medicine 446 Poplar St Ste B, Macon, GA 31201-3336 2017-06-20
1376075705 Diamond Jude Internal Medicine 777 Hemlock Street Msc #104, Macon, GA 31201 2017-04-03
1720456163 Wellness Connect Internal Medicine 1209 Marlowe Dr, Macon, GA 31210-3107 2015-09-02
1396157657 Almatmed H Mohamed Abdelsalam Internal Medicine 657 Hemlock St Ste 220, Macon, GA 31201-8311 2014-05-21
1114369865 Douglas Farman Md LLC Internal Medicine 310 Hospital Dr Ste 320, Macon, GA 31217-8027 2013-07-23
1528328796 Ahmad Azmi Kabbani Internal Medicine 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 2012-05-22
1376772640 Beverly Barksdale Sanders IIi Internal Medicine 330 Hospital Dr., Ste. 304, Macon, GA 31217 2009-07-08
1649414657 Lillette A Intaphan Md LLC Internal Medicine 432 Poplar St, Suite B, Macon, GA 31201-3336 2009-04-22
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Competitor

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City MACON
Zip Code 31204

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Dataset Information

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.

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