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Deactivated NPI 1285726349 Deactivated / Inactive NPI Male Practitioner

Dr. Meredith Thomas Riddick , MD

Specialist • Roswell, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Meredith Riddick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date May 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Meredith Riddick, MD was a registered Specialist practicing in Roswell, GA. Throughout an active medical career spanning 19 years, Dr. Riddick provided care at the practice location at 11660 ALPHARETTA HWY until profile deactivation on 2025-05-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, biopsy of large bowel using an endoscope, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11660 Alpharetta Hwy
Suite 420

Roswell, GA 300764943

Telephone 7704425882
Fax 7706646134
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Roswell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Roswell, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
106 77 $136.98 $43.35
99213 Established patient office or other outpatient visit, typically 15 minutes
84 75 $215.00 $84.25
45380 Biopsy of large bowel using an endoscope
79 79 $930.00 $136.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
65 65 $270.92 $110.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
39 39 $385.00 $164.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
37 34 $785.00 $90.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
37 37 $975.00 $247.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
32 32 $765.00 $178.73
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
23 23 $765.00 $178.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
17 17 $517.06 $217.53

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 022269

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1013005586

Doctor of Medicine (M.D.)

Dr. Melvin Bullock , MD

Internal Medicine - Gastroenterology

NPI 1093869786

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 28, 2025

Record deactivated on May 28, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11660 ALPHARETTA HWY, SUITE 420, ROSWELL, GA 300764943 (Tel: 7704425882)

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Updated Business Mailing Address July 08, 2007

Registered at 11660 ALPHARETTA HWY, SUITE 420, ROSWELL, GA 300764943 (Tel: 7704425882)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MEREDITH RIDDICK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #022269 in GA)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285726349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Deactivation Date: May 28, 2025

Mailing Address

11660 Alpharetta Hwy, Suite 420

Roswell, GA 300764943

Phone: 7704425882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.