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

Nathan Ribeiro

Individual provider Physician Assistant · NPI 1679162382

Nathan Ribeiro is a Physician Assistant in Johnston, Rhode Island. Qualified in 2021, 5 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Phone: (401) 272-1900
Fax: (401) 453-3049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19 Foster St, Fall River, MA 02721-6776 — (508) 373-5607

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01428 (RI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679162382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2021
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address32 Chesworth St, Fall River, MA 02723-2507

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Johnston