DR. BRIAN DOUGLAS SIDDALL (M.D.) – General Practice Physician, NPI 1205029352
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
164 GENERAL PRACTICE in GA
Provider Addresses for DR. BRIAN DOUGLAS SIDDALL (M.D.)
PO BOX 371
2251 WEST ELM STREET
WRIGHTSVILLE, GA 310960371
Phone: (478) 864-3448
Fax: (478) 864-1288
Type: Mailing
280 E WILLOW CREEK LN
MC RAE, GA 310555128
Phone: (478) 864-3448
Fax: (478) 864-1288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Lundbeck LLC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040712001333 | I | General Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 119 | 47 | $0 |
| 82947 | Blood glucose (sugar) level | 116 | 45 | $0 |
| 81003 | Automated urinalysis test | 33 | 25 | $0 |
Insurance plans in this area (ZIP 31096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Emergency Medicine, General Practice | GA | |
| Marriage And Family Therapist | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| - | GA |
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