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DAVID J RIDEN MD
NPI 1871588277
Urology - Pediatric Urology in Marietta, GA

Active since September 13, 2005PECOS Enrolled
3747 ROSWELL RD STE 201, MARIETTA, GA 30062(770) 578-2868 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2019, Jun 20, 2017 (2 updates tracked since 2017).

About David J Riden Md NPPES

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

DAVID J RIDEN MD (NPI 1871588277) is an individual pediatric urology provider in Marietta, Georgia, licensed in Georgia (39916) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1871588277
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDAVID J RIDENCredential: MD
Location Address3747 ROSWELL RD STE 201Marietta, GA 30062
Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340
Phone(770) 578-2868
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1871588277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in GA · 39916✔ Licensed in TN · 31240
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
3747 ROSWELL RD STE 201, Marietta, GA 30062
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Secondary Practice Location 1

Location 12100 W Clinch Ave, Suite130Knoxville, TN 37916-2219 · Phone (865) 673-9315 · Fax (865) 673-9316

Other Identifiers 1

Medicaid3841062TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J Riden Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Riden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
Same address
Pediatrics
3747 ROSWELL RD NE, SUITE 201
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1407141088 (770) 578-2868
East Tennessee Children's Hospital Association, Inc.
139 mi
Pediatric Urology
2100 CLINCH AVE STE 310
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Tennessee Pediatric Urology
NPI 1568581387 (865) 673-9315

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

Other Providers at the Same Location NPPES 6

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

PAUL MICHAEL ZMAJ M.D.
Urology (Pediatric Urology)
3747 ROSWELL RD STE 201
MARIETTA, GA 30062
Cobb County (470) 956-1600
MRS. JESSICA CATHERINE DOCKHAM PA-C
Physician Assistant
3747 ROSWELL RD STE 201
MARIETTA, GA 30062
Cobb County (470) 956-1590
DR. STACIE HAMLEY OBERSTEIN M.D.
Pediatrics
3747 ROSWELL RD STE 201
MARIETTA, GA 30062
Cobb County (770) 578-2868
CICELY PATRICE DOWDELL-SMITH MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3747 ROSWELL RD STE 201
MARIETTA, GA 30062
Cobb County (770) 578-2868
DR. STEPHANIE SHIREEN GREGORY M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3747 ROSWELL RD STE 201
MARIETTA, GA 30062
Cobb County (470) 956-1590
MRS. BEENA R PARBHU M.D.
Pediatrics
3747 ROSWELL RD STE 201
MARIETTA, GA 30062
Cobb County (770) 578-2868

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 David Riden's NPI number?

The NPI number for David Riden is 1871588277. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is David Riden located?

David Riden practices at 3747 Roswell Rd Ste 201, Marietta, GA 30062. The listed phone number is (770) 578-2868.

What is David Riden's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is David Riden enrolled in Medicare?

Yes. David Riden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Riden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Riden reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and East Tennessee Children's Hospital Association, Inc. (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Riden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Riden accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list David Riden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Riden was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.