Robert S Riddick Mdpc
Robert S Riddick Mdpc is a healthcare organization registered as Surgery Physician in Vidalia, GA, holding Type 2 (organization) NPI 1760692388 since 2007. The authorized official on file is Robert Riddick, Physician Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760692388 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Robert S Riddick Mdpc |
| Other name | <Unavail> |
| Practice address | 106 QUEEN STREET, SUITE 4, Vidalia, GA, 30474 |
| Phone | 9125388545 |
| Fax | 9125388547 |
| Enumeration date | 2007-05-23 |
| Last updated in NPPES | 2007-12-28 |
Authorized official
| Name | Robert Riddick |
|---|---|
| Title | Physician Owner |
| Phone | 9125388545 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 054933 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP6799 | Other | GA | MEDICARE GROUP NUMBER |
Copy-ready billing details
Provider: Robert S Riddick Mdpc NPI: 1760692388 Taxonomy: 208600000X (Surgery Physician) Address: 106 QUEEN STREET, SUITE 4, Vidalia, GA, 30474
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467672832 | Georgia Eye Consultants, P.C. | Organization | Ophthalmology Physician | Vidalia, GA |
Verify this record
Cross-check NPI 1760692388 against the authoritative CMS record: view Robert S Riddick Mdpc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Robert S Riddick Mdpc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-28.