Gaa Odetta Richardson, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

2008-00566 Issued in NC

Practice address

415 N Center St
Suite 300
Hickory, NC 28601-5057

Phone

(828) 328-3300

Fax

(828) 328-9101

NPI assigned

Jun 15, 2007

Last updated

Jul 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

University of Alabama School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catawba Valley Medical Group IncGroup PAC ID 6305007279, shared by 2 NPIs, 133 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• TN PPO
• TN PPO C-SNP
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catawba Valley Medical Group Inc

  dba Gastroenterology Associates of Catawba Valley-A

  • Ambulatory Surgical Clinic/Center
  • Hickory, NC
  • NPI 1659267359
  Medicare reassignment NPD
• Catawba Valley Medical Group, Inc

  dba Catawba Valley Family Care - Catawba

  • Family Medicine Physician
  • Catawba, NC
  • NPI 1790062362
  Medicare reassignment NPD
• Catawba Valley Medical Group Inc

  dba Gastroenterology Associates of Catawba Valley

  • Gastroenterology Physician
  • Hickory, NC
  • NPI 1407648629
  NPD
• Catawba Valley Medical Group, Inc

  dba Catawba Valley Family Medicine-South East Catawba

  • Family Medicine Physician
  • Sherrills Ford, NC
  • NPI 1326325994
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255
  Care Compare affiliation
• DLP Frye Regional Medical Center LLC

  dba Frye Regional Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1003011578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "STE. 300",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015057",
            "telephone_number": "828-328-3300",
            "fax_number": "828-328-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "SUITE 300",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015057",
            "telephone_number": "828-328-3300",
            "fax_number": "828-328-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GAA",
        "middle_name": "ODETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2004024412",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2008-00566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Richards, DO
• Karol Annetta Richards, MD
• Meghan Eileen Richards, PA-C
• Corey John Richardson, LCASA
• Erin Holmes Richardson, CRNA
• Paul Edward Richardson, DDS
• Rick Hensley DMD II PA Dba Mt View Family Dentistry
• Alec Riddle, PHD
• Thomas Edward Rider, DDS
• Susan Rieder

• Gastroenterology Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.