Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradley Gene Ridge, PA-C

Individual provider Physician Assistant · NPI 1902981996

Mr. Bradley Gene Ridge, PA-C is a Physician Assistant in Valdosta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2003, 23 years ago. Practices with Sgmc Physician Network Inc, a 127-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3294 N Oak St Ext
Valdosta, GA 31605
Phone: (229) 247-2290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004094 (GA)

Record details

NPI number1902981996
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESMarch 7, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Sgmc Physician Network Inc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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