Individual provider Active NPI

Laura Cathlin Ridley, D.M.D

  • Dentist
  • Thomasville, GA
National Provider Identifier
1295068120
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014066 Issued in GA
Practice address
410 Remington Ave
Thomasville, GA 31792-5525
Phone
(229) 228-4301
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014066 GA
Dentist 122300000X DN014066 GA Primary

Addresses

Primary practice location

410 Remington Ave
Thomasville, GA 31792-5525

Mailing address

240 S Broad St
Cairo, GA 39828-1556
Phone (770) 871-9242

Other practice location 1

240 S Broad St
Cairo, GA 39828-1556
Phone (229) 377-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN014066GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mya P. Greenberg, D.M.D., L.L.C. General Practice CurrentSince Mar 1, 2020 Accepting new patients
Lumis C. Brown DDS Dentist PastSince Aug 11, 2019 Accepting new patients

Locations

240 S Broad St
Cairo, GA 39828
Phone (229) 337-6125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1295068120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281556",
            "telephone_number": "770-871-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 REMINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925525",
            "telephone_number": "229-228-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "GA",
            "postal_code": "398281556",
            "country_code": "US",
            "telephone_number": "229-377-6125",
            "fax_number": "229-377-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "LAURA",
        "middle_name": "CATHLIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014066",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.