Richard M Proenza, PA-C
Richard M Proenza, PA-C is a Physician Assistant in Vidalia, Georgia. Qualified in 2004, 22 years ago. Practices with Mark Spivey Orthopedic Clinic LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 22
- Licensed in
- GA
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3301 E 1st St Ste AVidalia, GA 30474-8674 Not confirmed with CMS for 13 years — call before visiting
Phone: (912) 537-4411
Fax: (912) 538-8485
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 004304 (GA) |
|---|
Record details
| NPI number | 1982693024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 20, 2005 |
| Last updated in NPPES | October 3, 2013 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Mark Spivey Orthopedic Clinic Llc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 195 |
| Average patient age | 72 |
Practises at
- Memorial Health Meadows Hospital Hospital · Vidalia, GA
- Optim Medical Center - Tattnall Hospital · Reidsville, GA
Colleagues at Mark Spivey Orthopedic Clinic LLC
- Phillip Boatright Jr., PA Physician Assistant · Dublin, GA
- Bailey Brooks, DPT, ATC Athletic Trainer · Vidalia, GA
- Mr. Archie Joel Champion III, PA-C Physician Assistant · Vidalia, GA
- Dr. Patrick Groves Hanson, MD Orthopaedic Surgery Physician · Dublin, GA
- Hunter E Lynn, PA-C Medical Physician Assistant · Vidalia, GA
- John W Robison, MD Orthopaedic Surgery Physician · Vidalia, GA
- Charles M Spivey, MD Orthopaedic Surgery Physician · Vidalia, GA
- Dr. John Casey Spivey, MD Orthopaedic Surgery Physician · Vidalia, GA
- Trent Ware, PT, DPT Physical Therapist · Alma, GA