Retaunda Monique Riley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1054922

Practice address

428 22ND St
Fort Gordon, GA 30905-5303

Phone

(706) 787-7755

NPI assigned

Nov 13, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Evans Procedure Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Evans, GA
  • NPI 1518279504
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1831261395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST HOSPITAL ROAD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 22ND ST",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055303",
            "telephone_number": "706-787-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "RETAUNDA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1054922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Resnick, PHARMD
• Cynthia Elaine Rhodes, CTRS
• Maria Teresa Richard, PAC
• Monica Salinas Richards, LPN
• Daniel Richardson, R.N.
• Ian Matthew Rivera, MD
• Marilyn A Rivera, RPH
• Natalia R. Rivera, LCSW
• David Bentley Roberson, DMD
• Emily Ann Robinson, APRN

• Physician Assistant in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.