Individual provider Active NPI

Richard W Rickman, M.D.

  • Family Medicine Physician
  • Valdosta, GA
National Provider Identifier
1609809300
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049332 Issued in GA
Practice address
201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone
(229) 241-0041
Fax
(229) 241-0048
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049332 GA Primary

Addresses

Primary practice location

201 Woodrow Wilson Dr
Valdosta, GA 31602

Mailing address

201 Woodrow Wilson Dr
Valdosta, GA 31602-2538
Phone (229) 241-0041

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000110 GA Practitioner - Family PracticePractitioner - Emergency Medicine 8921074667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

2720 N Oak St
Valdosta, GA 31602-1781
Phone (229) 469-7729

Hospital & facility affiliations

  • Amedisys Home Health of Valdosta Home health agency, Valdosta, GA, CCN 117114
  • Crescent Home Health Home health agency, Adel, GA, CCN 117087
  • Georgia Home Health Services Home health agency, Valdosta, GA, CCN 117058
  • Pruitthealth Hospice-Valdosta Hospice, Valdosta, GA, CCN 111571
  • SGMC Health Hospital, Valdosta, GA, CCN 110122
  • SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SGMP Southland LLC CurrentSince Aug 12, 2013 Accepting new patients
SGMC Physician Network Inc Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Tift Regional Health System Inc CurrentSince Sep 26, 2015 Accepting new patients
Southland Hospitalist Group, LLC Past Accepting new patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine Past Accepting new patients
Sheridan Emergency Physician Services of Georgia,LLC Past Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine Past Accepting new patients
Southland-Nashville Emergency Services, LLC Past Accepting new patients
Southland-Nashville Emergency Services, LLC. Past Accepting new patients
Emergency Medicine South LLC Past Accepting new patients

Locations

706 N Parrish Ave
Adel, GA 31620
Phone (229) 896-8000

241 Lakes Blvd
Lake Park, GA 31636
Phone (229) 375-5449

116 W Thigpen Ave
Ste D
Lakeland, GA 31635
Phone (229) 482-8585

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

410 Northside Dr
Valdosta, GA 31602
Phone (229) 242-7368

2704 N Oak St
Bldg C2
Valdosta, GA 31602
Phone (229) 247-2122

2720 N Oak St
Valdosta, GA 31602
Phone (229) 241-5590

2501 N Ashley St
Valdosta, GA 31602
Phone (229) 224-7368

520 Griffin Ave
Valdosta, GA 31601
Phone (229) 245-0020

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

Interoperability endpoints

  • Direct secure messaging: rrickman15143@sgmc.gadirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1609809300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022538",
            "telephone_number": "229-241-0041",
            "fax_number": "229-241-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOODROW WILSON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-0041",
            "fax_number": "229-241-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.