RIVERSTONEMD PC NPI 1902943921

NPI Information

NPI: 1902943921
Provider Name: RIVERSTONEMD PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
101 RIVERSTONE VISTA
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 632-4400
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RIVERSTONEMD PC is a family medicine in Blue Ridge, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIVERSTONEMD PC NPI is 1902943921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 RIVERSTONE VISTA
BLUE RIDGE, GA
ZIP 30513-648
Phone: (706) 632-4400
Fax: (706) 632-3585

The provider's authorized official is Peggy Niece Trigg .
The authorized official title is Credentialing Manager and has the following contact phone number (706) 632-8787.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 5/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207N00000X	Dermatology		56316	GEORGIA	No
2	208100000X	Physical Medicine & Rehabilitation		56316	GEORGIA	No
3	363A00000X	Physician Assistant		004460	GEORGIA	No
4	363L00000X	Nurse Practitioner		043489	GEORGIA	No
5	1041C0700X	Social Worker	Clinical	002589	GEORGIA	No
6	207R00000X	Internal Medicine				No
7	208000000X	Pediatrics				No
8	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	113858	MEDICARE PIN	GEORGIA
2	890252M	MEDICAID	NORTH CAROLINA
3	300029865F	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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