Sarah Suzanne Ridgeway, APRN
Individual provider Active NPI Primary Care Nurse Practitioner · Folkston, GA
NPI 1245249176 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1245249176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- RN156030 NP-C (GA)
- Practice address
- 2383 Third St
Folkston, GA 31537-8917 - Phone
- (912) 496-2697
- Fax
- (912) 496-1139
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN156030 NP-C | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wings of Feathers Medical Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN156030 NP-C | GA | Yes |
Addresses
Primary practice location
2383 Third St
Folkston, GA 31537-8917
Mailing address
2383 Third St
Folkston, GA 31537-8917
Phone (912) 496-2697
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338490004C | Medicaid | GA |
Other providers in Folkston, GA
- Danielle Pautler
- Peach Care LLC
- Heather G Peebles
- Ghislain Richard Perron
- Richard David Ricks
- Brandi Robertson
- Robin C Rogers
- Carla Jeanette Rowe
- Shuman Health Care
- Kylie Sparks
All providers in Folkston, GA · Primary Care Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.