P Praxis·MD
● Active Type 2 · Organization

Ridgeway Family Practice, Pc

Clinic/Center·Commerce, GA· NPI 1679612733 · Enumerated 2007 · 19 years on NPI
Ridgeway Family Practice, Pc is 1 of 655 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-02-05
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sullivan
President
Last NPPES update
2010-11-17
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
641 Hospital Rd, Suite 3
Commerce, GA 305291155
📞 7063352034fax 7063368638
Mailing address
641 Hospital Rd, Suite 3
Commerce, GA 305291155
📞 7063352034fax 7063368638

Authorized official

Beth Ann Sullivan, DO
President
📞 7063352034

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #2010001281-58996 taxonomy 261QP2300X

Identifiers

TypeValueNotes
01 (GA) GRP6629 MEDICARE GROUP NUMBER
05 (GA) 85002412G

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Provyx · Custom healthcare lists

Need all 655 Clinic/Center 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 organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related