Individual provider Active NPI

Henry Albert Pridgen III, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Albany, GA
National Provider Identifier
1790893402
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
048294 Issued in GA
Practice address
406 W 1St Ave
Albany, GA 31701-2202
Phone
(229) 439-9400
Fax
(229) 436-3718
NPI assigned
Aug 25, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 64974 TN
Pain Medicine (Anesthesiology) Physician 207LP2900X 048294 GA Primary

Addresses

Primary practice location

406 W 1St Ave
Albany, GA 31701-2202

Mailing address

PO Box 1227
406 West First Avenue
Albany, GA 31702-1227
Phone (229) 439-9400

Other practice location 1

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

Other identifiers 3

IdentifierTypeStateIssuer
000866126AMedicaidGA
728846OtherGABLUE CROSS BLUE SHIELD
050074558OtherGAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101026001471 GA Practitioner - Anesthesiology 1456456375 Reassigns benefits to 7 organizations
I20170404001387 FL Practitioner - Anesthesiology 1456456375 Reassigns benefits to 1 organization
I20230502001749 TN Practitioner - Anesthesiology 1456456375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians
Guardian Medical Services LLCGroup PAC ID 8325347735, 28 clinicians

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64974TNMDAnesthesiology Physician
048294GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Aug 1, 2024 Accepting new patients
Georgia Group Services, LLC Anesthesiology Current Accepting new patients
Valdosta Anesthesia Associates, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Guardian Medical Services, LLC CurrentSince Oct 1, 2024 Accepting new patients
Emory Specialty Associates, LLC Anesthesiology CurrentSince Mar 19, 2023 Accepting new patients
Ams Southeast LLC Anesthesiology CurrentSince Nov 20, 2023 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2011 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Jan 21, 2023 Accepting new patients
Ocala Anesthesia Ams LLC Anesthesiology CurrentSince Jan 10, 2017 Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2024 Accepting new patients
Phoebe Orthopedic Specialists CurrentSince Aug 1, 2011 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Feb 27, 2018 Accepting new patients
Albany Anesthesia Associates,PC Anesthesiology Past Accepting new patients

Locations

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

406 W 1st Ave
Albany, GA 31701
Phone (229) 439-9400

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

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

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

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

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1790893402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "address_2": "406 WEST FIRST AVENUE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317021227",
            "telephone_number": "229-439-9400",
            "fax_number": "229-436-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 1ST AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012202",
            "telephone_number": "229-439-9400",
            "fax_number": "229-436-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 McCallie Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043258",
            "country_code": "US",
            "telephone_number": "423-698-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "HENRY",
        "middle_name": "ALBERT",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "64974",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "048294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000866126A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "728846",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050074558",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.