James L Pridgen III, MSN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN176595 Issued in GA

Practice address

20601 N 19TH Ave Ste 130
Phoenix, AZ 85027-3587

Phone

(877) 564-3627

NPI assigned

May 25, 2018

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

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.

• Renal Associates of Lagrange LLC

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1679813406
  Medicare reassignment NPD

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1770074676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20601 N 19TH AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273587",
            "telephone_number": "877-564-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 N 19TH AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273587",
            "telephone_number": "877-564-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Vineville St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046532",
            "country_code": "US",
            "telephone_number": "877-564-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN176595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Carroll Price, MD
• Sian Price
• Thomas John Price Jr., PHARM, D,
• Wyatt Doran Price, CTRS
• Rhonda Prichett
• Cambria Priebe, OTR L
• Emily Priest, LCSW
• Adriana Prieto, RBT
• Elisabet Prieto, ARNP
• Maya Icela Prieto

• Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.