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

Kelly R Ridge, PAC

Individual provider Surgical Physician Assistant · NPI 1992789739

Kelly R Ridge, PAC is a Physician Assistant in Brockton, Massachusetts. Qualified in 1999, 27 years ago. Practices with Signature Healthcare Medical Group Inc, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
27
Licensed in
MA
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

680 Centre St
Brockton, MA 02302-3308
Phone: (508) 941-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Washington St, North Easton, MA 02356-1010 — (508) 205-9630

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1104 (MA)

Record details

NPI number1992789739
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Signature Healthcare Medical Group Inc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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