Mr Bradley Gene Ridge, PA-C | |
3294 North Oak St. Ext., Valdosta, GA 31605 | |
(229) 247-2290 | |
Not Available |
Full Name | Mr Bradley Gene Ridge |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 21 Years |
Location | 3294 North Oak St. Ext., Valdosta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902981996 | NPI | - | NPPES |
723712955A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 004094 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Georgia Medical Center | Valdosta, GA | Hospital |
Clinch Memorial Hospital | Homerville, GA | Hospital |
Sgmc Berrien Campus | Nashville, GA | Hospital |
Sgmc Lanier Campus | Lakeland, GA | Hospital |
Madison County Memorial Hospital | Madison, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urological Clinic Of Valdosta Pc | 1456419837 | 2 |
Sgmc Physician Network Inc | 4082036843 | 112 |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley Gene Ridge, PA-C 3294 North Oak St. Ext., Valdosta, GA 31605 Ph: (229) 241-1188 | Mr Bradley Gene Ridge, PA-C 3294 North Oak St. Ext., Valdosta, GA 31605 Ph: (229) 247-2290 |
Chaeli Wisenbaker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 | |
Ashly Mcdaniel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2290 | |
Mr. Lonas Edward Lewis Ii, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602 Phone: 229-259-0006 Fax: 229-259-0803 | |
Dana Woods Simpson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-241-0041 Fax: 229-241-0048 | |
Matthew Allan Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 | |
Ms. Shonta K Winbush, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 704 Gil Harbin Ind Blvd, Valdosta, GA 31602 Phone: 229-242-9003 Fax: 229-242-0490 | |
Lela Faircloth Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 |