MR. JONATHAN R RIDENOUR PA-C
NPI 1053845776
Physician Assistant in Montgomery, AL

Active since April 19, 2017PECOS Enrolled
2105 E SOUTH BLVD, MONTGOMERY, AL 36116(334) 288-2100 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jonathan R Ridenour Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN R RIDENOUR PA-C (NPI 1053845776) is an individual physician assistant in Montgomery, Alabama, licensed in Alabama (PA.1244) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053845776
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JONATHAN R RIDENOURCredential: PA-C
Location Address2105 E SOUTH BLVDMontgomery, AL 36116-2409
Mailing Address8400 Country Club Way, Apt. L29Knoxville, TN 37923-1844 · (865) 567-2465
Sole ProprietorNo
Enumeration DateApril 19, 2017
NPI 1053845776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AL · PA.1244
Definition

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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2105 E SOUTH BLVD, Montgomery, AL 36116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jonathan R Ridenour Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
General Acute Care Hospital
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Family Medicine
2105 E SOUTH BLVD, BAPTIST MEDICAL CENTER SOUTH
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD, BAPTIST HOSPITAL DEPT OF ANES
MONTGOMERY, AL 36116
Hospitalist
2105 E SOUTH BLVD
MONTGOMERY, AL 36116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Ridenour's NPI number?

The NPI number for Jonathan Ridenour is 1053845776. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Jonathan Ridenour located?

Jonathan Ridenour practices at 2105 E South Blvd, Montgomery, AL 36116. The listed phone number is (334) 288-2100.

What is Jonathan Ridenour's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonathan Ridenour enrolled in Medicare?

Yes. Jonathan Ridenour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Ridenour was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.