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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 025476 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BLUE CROSS BLUE SHIELD | 279620 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
2266 INGLESIDE AVE |
City | MACON |
State | GA |
Zip Code | 31204-2032 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
Find all providers in MACON |
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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.