Individual provider Active NPI

Ryan Risley, PA

  • Medical Physician Assistant
  • Sugar Hill, GA
National Provider Identifier
1316937402
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003046 Issued in GA
Practice address
5910 Suwanee Dam Rd Ste 100
Sugar Hill, GA 30518-5648
Phone
(470) 326-7600
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003046 GA Primary

Addresses

Primary practice location

5910 Suwanee Dam Rd Ste 100
Sugar Hill, GA 30518-5648

Mailing address

5910 Suwanee Dam Rd Ste 100
Sugar Hill, GA 30518-5648
Phone (470) 326-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000889 GA Practitioner - Physician Assistant 0042250086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

3425 Buford Dr
Suite 200
Buford, GA 30519-8785
Phone (678) 546-0200

3551 Satellite Blvd
Duluth, GA 30096-4646
Phone (770) 476-3000

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

3885 Mundy Mill Rd
Suite 114
Oakwood, GA 30566-3432
Phone (678) 971-1892

868 Buford Rd
Cumming, GA 30041-2716
Phone (678) 284-2006

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003046GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hcenti, LLC Past Accepting new patients
ENT of Georgia, LLC Past Accepting new patients
Northside Urgent Care Holding, LLC PastSince May 11, 2015 Accepting new patients

Organizations & group practices 4

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1316937402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 SUWANEE DAM RD STE 100",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185648",
            "telephone_number": "470-326-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 SUWANEE DAM RD STE 100",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185648",
            "telephone_number": "470-326-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISLEY",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

Verify at the official NPI Registry.