DR. BRIAN DOUGLAS SIDDALL M.D.
NPI 1205029352
General Practice in Mc Rae, GA

Q: What is Brian Siddall's NPI number?

The NPI number for Brian Siddall is 1205029352. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Q: What is Brian Siddall's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Siddall was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment

280 E WILLOW CREEK LN, MC RAE, GA 31055(478) 864-3448(478) 864-1288 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Brian Douglas Siddall M.d. NPPES

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

DR. BRIAN DOUGLAS SIDDALL M.D. (NPI 1205029352) is an individual general practice provider in Mc Rae, Georgia, licensed in Georgia (023227) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Dodge County Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1205029352

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. BRIAN DOUGLAS SIDDALLCredential: M.D.

Location Address280 E WILLOW CREEK LNMc Rae, GA 31055-5128

Mailing AddressPo Box 371, 2251 West Elm StreetWrightsville, GA 31096-0371 · (478) 864-3448 · Fax (478) 864-1288

Phone(478) 864-3448

Fax(478) 864-1288

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateAugust 22, 2007

Last NPPES UpdateOctober 29, 2018

✔ NPI 1205029352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in GA · 023227

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

280 E WILLOW CREEK LN, Mc Rae, GA 31055

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Other Identifiers 1

Other23227GA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Douglas Siddall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325026644

PECOS Enrollment IDI20040712001333

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Siddall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Care Systems, Inc

Same address

Federally Qualified Health Center (FQHC)

280 E WILLOW CREEK LN
Mc Rae, GA 31055

Reassigned Medicare billing, Georgia enrollment
69 clinicians in this Medicare group

NPI 1568806297 (478) 864-3448

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

106 services52 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

104 services47 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

23 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dodge County Hospital

Acute Care Hospitals · Eastman, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110092

Location901 Griffin AveEastman, GA 31023 · Dodge County

Emergency services

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110125

Location200 Industrial BoulevardDublin, GA 31021 · Laurens County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers23 claims40 services$3.62 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$73.73 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier28 claims840 services$0.08 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$17.71 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier18 claims18 services$17.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

HEATHER J SPIVEY FNP-C

Nurse Practitioner (Family)