Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward John Fricker, MD

Individual provider Gastroenterology Physician · NPI 1316933823

Edward John Fricker, MD is a Gastroenterology in Valdosta, Georgia. Qualified in 1987, 39 years ago. Practices with Southwell Ambulatory Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
39
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3207 Country Club Dr
Valdosta, GA 31605-1029
Phone: (229) 242-8480
Fax: (229) 247-7539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 038487 (GA)

Record details

NPI number1316933823
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESOctober 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Southwell Ambulatory Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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