Active NPI
Anthony N Rives, PA-C
- Physician Assistant
- Griffin, GA
National Provider Identifier
1376578583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004177
- Practice address
- 1657 N Expressway
Griffin, GA 30223-1276 - Phone
- (770) 228-2641
- Fax
- (770) 467-9764
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9103779 | FL | |
| Physician Assistant | 363A00000X | 004177 | GA | Primary |
Addresses
Primary practice location
1657 N Expressway
Griffin, GA 30223-1276
Mailing address
1657 N Expressway
Griffin, GA 30223-1276
Phone (770) 228-2641
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Associates, LLC | Current | Accepting new patients | |
| Center for Bone & Joint Surgery of the Palm Beaches, P.a. | Past | Accepting new patients |
Locations
1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135
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.
-
- Family Medicine Physician
- McDonough, GA
- NPI 1043440530
GA
-
- Family Medicine Physician
- McDonough, GA
- NPI 1225587280
-
- Orthopaedic Surgery Physician
- Wellington, FL
- NPI 1457326761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1376578583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 N EXPRESSWAY",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302231276",
"telephone_number": "770-228-2641",
"fax_number": "770-467-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 N EXPRESSWAY",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302231276",
"telephone_number": "770-228-2641",
"fax_number": "770-467-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVES",
"first_name": "ANTHONY",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9103779",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.