P Praxis·MD
● Active Type 1 · Individual

Phillip Patrick Rideout, MD

Surgery·Gainesville, GA· NPI 1093153116 · Enumerated 2013 · 12 years on NPI
Rideout is 1 of 12 surgery providers in Gainesville and 1 of 268 in Georgia.
NPI age
12 years
Enumerated 2013-06-11
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
200 S Enota Dr Ne Ste 360
Gainesville, GA 305013466
📞 7702194000
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1924 Alcoa Hwy # U-11
Knoxville, TN 37920
📞 8653059006

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #73048 taxonomy 2086S0129X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #6088 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 268 Surgery providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related