NPIMap

Individual provider Active NPI

Stephen Fitzgerald Ridley, M.D.

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1508839630
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
23232 Issued in SC
Practice address
Taylor at Marion
Columbia, SC 29220-0001
Phone
(803) 296-5050
NPI assigned
Feb 9, 2006
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23232 SC Primary

Addresses

Primary practice location

Taylor at Marion
Columbia, SC 29220-0001

Mailing address

300 E McBee Ave # 4TH
Greenville, SC 29601-2842

Other practice location 1

14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone (803) 434-1663

Other identifiers 1

IdentifierTypeStateIssuer
232322MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000381 SC Practitioner - Emergency Medicine 2567448855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

14 Richland Medical Park Dr
Suite 350
Columbia, SC 29203-6896
Phone (803) 434-1663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Medical Group-Midlands Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Prisma Health-Midlands Emergency Medicine CurrentSince Mar 19, 2014 Accepting new patients
Spartanburg Medical Center Emergency Medicine CurrentSince Feb 27, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Sep 1, 2021 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 27, 2017 Accepting new patients
Bamberg County Memorial Hospital Past Accepting new patients

Locations

1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410

14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

8 Richland Medical Park Dr
Ste 400
Columbia, SC 29203
Phone (803) 296-7305

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

Interoperability endpoints

  • Direct secure messaging: sridley413579@direct.ghs.myhfn.org

Organizations & group practices 7

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1508839630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE # 4TH",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAYLOR AT MARION",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292200001",
            "telephone_number": "803-296-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Richland Medical Park Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "STEPHEN",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "23232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232322",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.