MICHAEL JOE RIDLEY (PA) – Physician Assistant, NPI 1023124161

MICHAEL JOE RIDLEY (PA) is a healthcare provider. based in Camden, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1373 (TN). The NPI Number for MICHAEL JOE RIDLEY (PA) is 1023124161

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOE RIDLEY (PA)
NPI
1023124161
Phone
(731) 584-1523
Address
306 HIGHWAY 641 N
Enumeration Date
22 August 2006
Last Update Date
26 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159387190
Graduation Year
2006 (20 years ago)
PAC ID
0345246187
Group Practice PAC ID
5496998155
Professional Enrollment ID
I20061018000328
Address ID
TN370762595HE5225XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for MICHAEL JOE RIDLEY (PA)

  • 306 HIGHWAY 641 N

    CAMDEN, TN 383203012

    Phone: (731) 584-1523

    Fax: (731) 986-0011

    Type: Location

  • PO BOX 25

    HUNTINGDON, TN 383440025

    Phone: (731) 986-2213

    Fax: (731) 986-0011

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-10-18

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
I20061018000328IPhysician AssistantTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes7575$0
99214Established patient office or other outpatient visit, 30-39 minutes2520$0
96372Injection of drug or substance under skin or into muscle1212$0
View full utilization report →

Insurance plans in this area (ZIP 38320)

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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: 5496998155View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL JOE RIDLEY (PA) in U.S. healthcare records?
The official identifier for MICHAEL JOE RIDLEY (PA) is NPI 1023124161.
Is MICHAEL JOE RIDLEY (PA) still an active registrant?
MICHAEL JOE RIDLEY (PA) carries an active NPI according to the public dataset.
How would a patient describe MICHAEL JOE RIDLEY (PA)'s focus?
For MICHAEL JOE RIDLEY (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MICHAEL JOE RIDLEY (PA) associated with Camden?
Public fields place MICHAEL JOE RIDLEY (PA) around Camden, Tennessee. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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