Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert Lee Ridgeway IV, PA-C

Individual provider Physician Assistant · NPI 1942616750

Mr. Robert Lee Ridgeway IV, PA-C is a Physician Assistant in Anderson, South Carolina. Qualified in 2014, 12 years ago. Practices with Anderson Skin and Cancer Clinic PA, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2014
Specialties on file
3
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

2022 Cardinal Cir
Anderson, SC 29621-1504
Phone: (864) 224-7577
Fax: (864) 225-5165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Carwellyn Rd, Abbeville, SC 29620-5532 — (864) 224-7577
  • 106 Municipal Dr, Seneca, SC 29672-6642 — (864) 224-7577

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2119 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 2119 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2119 (SC)

Record details

NPI number1942616750
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESDecember 12, 2023
Certification dateDecember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Anderson Skin And Cancer Clinic Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Anderson