● 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

1 state

Status

Active

No deactivations on record

Last NPPES update

2021-01-22

Source: monthly bulk 2026-05

Sole proprietor

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

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

Allopathic & Osteopathic Physicians › Surgery

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.

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How to verify this provider

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