P Praxis·MD
● Active Type 1 · Individual

MR. Bradley Gene Ridge, P.A.-C

Physician Assistant·Valdosta, GA· NPI 1902981996 · Enumerated 2006 · 19 years on NPI
Ridge is 1 of 33 physician assistant providers in Valdosta and 1 of 4616 in Georgia.
NPI age
19 years
Enumerated 2006-10-26
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
3294 North Oak St. Ext.
Valdosta, GA 31605
📞 2292472290
Mailing address
3294 North Oak St. Ext.
Valdosta, GA 31605
📞 2292411188fax 2292457106

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #004094 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (GA) 723712955A

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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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.

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