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

Mr. Deon Travell Ridgell, PA

Individual provider Physician Assistant · NPI 1487721874

Mr. Deon Travell Ridgell, PA is a Physician Assistant in Fort Liberty, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2817 Reilly St
Fort Liberty, NC 28310-5647
Phone: (910) 907-4005
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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 0010-03495 (NC)

Record details

NPI number1487721874
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

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