OrganizationActive
Robert S Riddick Mdpc
NPI 1760692388 · Surgery Physician · Vidalia, GA
Robert S Riddick Mdpc is a Surgery Physician organization in Vidalia, GA (NPI 1760692388).
Provider details
- NPI number
- 1760692388
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Riddick, Physician Owner(912) 538-8545
- License
- 054933 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
106 Queen Street
Suite 4
Vidalia, GA 30474
Phone: (912) 538-8545
Fax: (912) 538-8547
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1047
Vidalia, GA 30475-1047
Other names (DBA / former)
- Doing business as
- Riddick Surgical Services
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-12-28
Frequently asked questions
- What is Robert S Riddick Mdpc's NPI number?
- Robert S Riddick Mdpc's National Provider Identifier (NPI) is 1760692388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Robert S Riddick Mdpc?
- Robert S Riddick Mdpc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Robert S Riddick Mdpc located?
- Robert S Riddick Mdpc's practice location on file with NPPES is 106 Queen Street, Vidalia, GA 30474.
- What is Robert S Riddick Mdpc's phone number?
- The practice phone number listed in the NPPES registry for Robert S Riddick Mdpc is (912) 538-8545.
- Who is the authorized official for Robert S Riddick Mdpc?
- The authorized official listed on Robert S Riddick Mdpc's NPPES record is Robert Riddick, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Robert S Riddick Mdpc's NPI active?
- Yes — Robert S Riddick Mdpc's NPI (1760692388) is active in the NPPES registry as of the last update on 2007-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.