Kenneth J Ricci, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

034932 Issued in GA

Practice address

10745 Westside Way Ste 125
Alpharetta, GA 30009-7635

Phone

(770) 410-4610

Fax

(888) 990-1674

NPI assigned

Aug 1, 2006

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: internalmedicinepracticeofnorthside.kennethricci@advancedmd-direct.com

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.

• Etowah Regional Medical Services PC

  dba Medical Associates of North Georgia

  • Neurology Physician
  • Canton, GA
  • NPI 1427165281
  NPD
• Carolyn H. Sigman, MD., PC

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1184829012
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1578570792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 WESTSIDE WAY STE 125",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097635",
            "telephone_number": "770-410-4610",
            "fax_number": "888-990-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 WESTSIDE WAY STE 125",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097635",
            "telephone_number": "770-410-4610",
            "fax_number": "888-990-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "034932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "InternalMedicinePracticeOfNorthside.KennethRicci@advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "10745 Westside Way Ste 125",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300097635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Reynolds, BCBA
• Bryan Rhodes, D.O.
• Cheryl Ainbender Rhodes, MS
• Rhonda G. McMillian, M.D., P.C.
• Fernanda Barata Ribeiro, M.S., CCC-SLP
• Robyn Jean Ricci
• Richard a Watson, DC, PC
• Richard a. Van Haveren, PH.D.
• Onasis Richards
• Kara Michelle Richardson, M.ED, BCBA

• Adult Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.

Verify at the official NPI Registry.