RIDDICK SURGICAL SERVICES
NPI 1760692388
Surgery in Vidalia, GA

Active since May 23, 2007
106 QUEEN STREET, SUITE 4, VIDALIA, GA 30474(912) 538-8545(912) 538-8547 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Riddick Surgical Services NPPES

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

RIDDICK SURGICAL SERVICES (NPI 1760692388) is a healthcare organization registered as a surgery in Vidalia, Georgia and active in the NPI registry since May 2007. The organization lists Robert Steven Riddick, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1760692388
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameROBERT S RIDDICK MDPC
Location Address106 QUEEN STREET, SUITE 4Vidalia, GA 30474
Mailing AddressPo Box 1047Vidalia, GA 30475-1047 · (912) 538-8545
Fax(912) 538-8547
Organization SubpartNo
Authorized OfficialRobert Steven RiddickPhysician Owner · (912) 538-8545
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 28, 2007
NPI 1760692388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 054933
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
106 QUEEN STREET, Vidalia, GA 30474

Other Names 1

Doing Business AsRiddick Surgical Services

Other Identifiers 3

OtherGRP6799GA · Medicare Group Number
Medicare UPINF94339GA
Medicare PINGRP6799GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Ophthalmology
106 QUEEN STREET, SUITE 4
VIDALIA, GA 30474

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 Robert S Riddick Mdpc's NPI number?

The NPI number for Robert S Riddick Mdpc is 1760692388. It was assigned to this organization in the NPPES registry on May 23, 2007. The provider is doing business as Riddick Surgical Services.

Where is Robert S Riddick Mdpc located?

Robert S Riddick Mdpc is located at 106 Queen Street Suite 4, Vidalia, GA 30474. The listed phone number is (912) 538-8545.

What is Robert S Riddick Mdpc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Robert S Riddick Mdpc was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.