Garryson Ridgely, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11153 Issued in GA

Practice address

2605 Myrtlewood LN NW
Kennesaw, GA 30144-7428

Phone

(515) 745-8807

NPI assigned

Mar 15, 2024

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1831958552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 MYRTLEWOOD LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447428",
            "telephone_number": "515-745-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 MYRTLEWOOD LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447428",
            "telephone_number": "515-745-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGELY",
        "first_name": "GARRYSON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "11153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla D Richardson, MD
• Linda F Richardson, LCSW
• Jana L. Rickard, AT-C
• Hanna-Marie Ricketts, RBT
• Isabella Zita Ricketts, M.D.
• Steven Riemersma
• Katie B Riggins, DMD
• Jennifer Ringenberg, RN
• Susan Alice Ristau, LPC
• River Tree Chiropractic, LLC

• Chiropractor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.