Robert L Ridgeway III, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

14633 Issued in SC

Practice address

12 W South St
Manning, SC 29102-2925

Phone

(803) 433-4321

Fax

(803) 433-0075

NPI assigned

Sep 12, 2005

Last updated

Jul 21, 2022By 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 SC

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

Specialty

Obstetrics/Gynecology

Education

Medical University of South Carolina College of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.ridgeway@hop.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

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.

• Colonial Family Practice, LLC

  dba Colonial Family Practice

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1518074640
  Medicare reassignment Care Compare group NPD
• Hopehealth Inc

  dba HopeHealth Dental Palmetto

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1821002411
  Medicare reassignment NPD
• Palmetto Women's Healthcare PA

  • Obstetrics & Gynecology Physician
  • Manning, SC
  • NPI 1366471104
  NPD (past) Authorized official
• Colonial Family Practice, LLC

  dba Colonial Family Practice Camden Location

  • Family Medicine Physician
  • Camden, SC
  • NPI 1033402599
  NPD
• Colonial Family Practice, LLC

  dba Colonial Family Practice Liberty Street Location

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1225687338
  NPD
• Hopehealth Inc

  dba HopeHealth Manning School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Manning, SC
  • NPI 1124627153
  NPD
• Hopehealth Inc

  dba HopeHealth J. Paul Truluck School-based Health Center

  • Federally Qualified Health Center (FQHC)
  • Lake City, SC
  • NPI 1649069618
  NPD
• Colonial Family Practice - Manning

  • Family Medicine Physician
  • Manning, SC
  • NPI 1689006652
  NPD (past)
• Colonial Family Practice & Ambulatory Care Center

  dba Colonial Family Practice Columbia

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1902229214
  NPD (past)
• Colonial Family Practice, LLC

  dba Colonial Neurology and Sleep Lab

  • Neurology Physician
  • Sumter, SC
  • NPI 1164833026
  NPD (past)
• Colonial Family Practice, LLC

  dba Santee Cooper Urgent Care

  • Family Medicine Physician
  • Manning, SC
  • NPI 1467999326
  NPD (past)
• Colonial Family Practice, LLC

  dba Colonial Family Practice Wesmark

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1497060719
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881689305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W SOUTH ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022925",
            "telephone_number": "803-433-4321",
            "fax_number": "803-433-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146336",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remote Optometric Services LLC (Manning Eye Center)
• Janice C. Reynolds, RN-FNP
• Robert W Rhame Jr., MD
• Tina M Rhea
• Cynthia M Richardson
• RJ Health, LLC
• Robert S. Eagerton, Jr. M.D.,LLC
• Carmen Cribb Roberts, D.O.
• Jessica Bannister Robinson, PA
• John D Rozich, MD

• Obstetrics & Gynecology Physician in Manning, SC
• Providers in Manning, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.