Active NPI
Raymond Aldridge, M.D.
- Otolaryngology Physician
- Moultrie, GA
National Provider Identifier
1891724225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 049415
- Practice address
- 3 Hospital Park
Moultrie, GA 31768-6772 - Phone
- (229) 891-3325
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 049415 | GA | Primary |
Addresses
Primary practice location
3 Hospital Park
Moultrie, GA 31768-6772
Mailing address
#3 Hospital Park
Moultrie, GA 31768-6772
Phone (229) 891-3325
Other practice location 1
1812 Lee Ave
Tifton, GA 31794-3639
Phone (229) 382-5114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000885321H | Medicaid | GA | |
| 000885321I | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph H. Berger, MD, LLC | Past | Accepting new patients | |
| Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a. | Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Tifton, GA
- NPI 1851441687
-
- Otolaryngology/Facial Plastic Surgery Physician
- Thomasville, GA
- NPI 1649468463
-
- Otolaryngology Physician
- Tallahassee, FL
- NPI 1790797728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891724225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#3 HOSPITAL PARK",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686772",
"telephone_number": "229-891-3325",
"fax_number": "229-890-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL PARK",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686772",
"telephone_number": "229-891-3325"
}
],
"practiceLocations": [
{
"address_1": "1812 Lee Ave",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943639",
"country_code": "US",
"telephone_number": "229-382-5114",
"fax_number": "229-386-8272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALDRIDGE",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "049415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000885321H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000885321I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
- Amal Akhtar, DO
- Akri Trucking and Logistics
- Camille Akridge, D.C
- Muhammad Mahmood Alam, M.D.
- Albany Area Primary Health Care, Inc. (AAPHC Covenant Counseling Center, Inc.)
- Belinda G Allen, PT
- Robert Steven Allen, MS PT
- Michael Alleyne, M.D,
- Amedisys Georgia, LLC (Amedisys Home Health)
- Mary Ann Anderson-Parris, N.P.
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.