Individual provider Active NPI

Gloria Ann Richards, MD

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1043311186
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040770 Issued in GA
Practice address
3571 Martin Luther King Jr Dr SW
Atlanta, GA 30331-4017
Phone
(470) 832-6550
Fax
(877) 887-6103
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040770 GA Primary

Addresses

Primary practice location

3571 Martin Luther King Jr Dr SW
Atlanta, GA 30331-4017

Mailing address

PO Box 616788
Orlando, FL 32861-6788
Phone (407) 533-6837

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gloria.richards@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20041215000899 GA Practitioner - Internal Medicine 1456318088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040770GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jul 2, 2023 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Jul 2, 2023 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
Centerwell Senior Primary Care Ga PC Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine PastSince Dec 29, 1995 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Past Accepting new patients

Locations

3571 Martin Luther King Jr Dr SW
Atlanta, GA 30331
Phone (470) 832-6550

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

3073 Panthersville Rd
Decatur, GA 30034
Phone (404) 243-2100

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

Interoperability endpoints

  • Direct secure messaging: ms_gricha24@landmarkhealth-direct.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1043311186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328616788",
            "telephone_number": "407-533-6837",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314017",
            "telephone_number": "470-832-6550",
            "fax_number": "877-887-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "GLORIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gloria.richards@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "gloria.richards@centerwell.eclinicaldirectplus.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3571 Martin Luther King Jr Dr SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303314017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.