JOHN RICKETSON (M.D.) – Gynecology Physician, NPI 1710968979

JOHN RICKETSON (M.D.) is a healthcare provider. based in Albany, Georgia. specializing in Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 23099 (GA). The NPI Number for JOHN RICKETSON (M.D.) is 1710968979

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RICKETSON (M.D.)
NPI
1710968979
Phone
(229) 436-7248
Address
1001 N MONROE ST
Enumeration Date
7 November 2005
Last Update Date
10 November 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9124367248
Graduation Year
1980 (46 years ago)
PAC ID
1355530585
Group Practice PAC ID
1557359791
Professional Enrollment ID
I20110105000876
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN RICKETSON (M.D.)

  • 1001, North Monroe Street, Albany, Dougherty County, Georgia, 31701, United States

    ALBANY, GA 317011903

    Phone: (229) 436-7248

    Fax: (229) 431-1951

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110105000876IObstetrics/GynecologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557359791View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Can I cross-check JOHN RICKETSON (M.D.) using NPI 1710968979?
NPI 1710968979 belongs to JOHN RICKETSON (M.D.); compare other details if you need extra assurance.
Would JOHN RICKETSON (M.D.) appear as active to a payer?
You can treat JOHN RICKETSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JOHN RICKETSON (M.D.)?
JOHN RICKETSON (M.D.)'s specialty line reads Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is JOHN RICKETSON (M.D.) associated with Albany?
Public fields place JOHN RICKETSON (M.D.) around Albany, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JOHN RICKETSON (M.D.) is noted as November 7, 2005 where the registry provides it.

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