John Ricketson, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

23099 Issued in GA

Practice address

1001 N Monroe St
Albany, GA 31701-1903

Phone

(229) 436-7248

Fax

(229) 431-1951

NPI assigned

Nov 7, 2005

Last updated

Nov 10, 2010By 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

Other identifiers 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 Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GICJAA

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.

• Albany Area Primary Health Care, Inc.

  dba East Albany Medical Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1780608992
  Medicare reassignment NPD
• Albany OB-GYN LLC

  • Obstetrics Physician
  • Albany, GA
  • NPI 1598975542
  Medicare reassignment NPD
• Albany Area Primary Health Care, Inc

  dba Radium Springs Middle School-Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1013709625
  NPD
• Albany Area Primary Health Care, Inc.

  dba Mirian Worthy Women's Health Center

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1134366834
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1710968979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011903",
            "telephone_number": "229-436-7248",
            "fax_number": "229-431-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011903",
            "telephone_number": "229-436-7248",
            "fax_number": "229-431-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETSON",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "23099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00287801A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Carter Rhodes, RN
• Brandi Michelle Richards, NP
• Jinne Niki Richards, M.D.
• Augustus Cullen Richardson III, M.D.
• Stephanie Heard Richardson, SL PATHOLOGIST
• Rite Aid
• Rite Aid Pharmacy
• Rite Aid Pharmacy
• Rittenhouse Square Dynamics LLC
• Jessica Mitchum Rivas, DMD

• Gynecology Physician in Albany, GA
• Providers in Albany, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.