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

Phillip Patrick Rideout, MD

Individual provider Surgery Physician · NPI 1093153116

Phillip Patrick Rideout, MD is a Vascular Surgery in Gainesville, Georgia. Graduated from Medical University of South Carolina College of Medicine in 2013, 13 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
13
Trained at
Medical University of South Carolina College of Medicine
Licensed in
GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 S Enota Dr NE Ste 360
Gainesville, GA 30501-3466
Phone: (770) 219-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1924 Alcoa Hwy # U-11, Knoxville, TN 37920 — (865) 305-9006

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 73048 (GA)
Surgery Physician Taxonomy 208600000X · Licence 6088 (GA)

Record details

NPI number1093153116
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2013
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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