Charlie E Richardson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME30397 Issued in FL

Practice address

309 NE Marion St
Madison, FL 32340-2511

Phone

(850) 973-3456

Fax

(850) 973-9399

NPI assigned

Oct 13, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

General Practice

Education

Meharry Medical College School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Medical Center, IncGroup PAC ID 7517082837, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlie.richardson.1@15524.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4

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.

• Neighborhood Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1487869467
  Medicare reassignment Care Compare group NPD
• Neighborhood Medical Center, Inc

  dba Neighborhood Medical Center

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1174239784
  NPD
• Neighborhood Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Havana, FL
  • NPI 1952816225
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063401925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 HICKORY RIDGE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084010",
            "telephone_number": "850-552-0922",
            "fax_number": "850-553-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NE MARION ST",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402511",
            "telephone_number": "850-973-3456",
            "fax_number": "850-973-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CHARLIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME30397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Poucher
• William R. Primas, M.D.
• Cina Quezada
• Martha Kelly Waldrep Reeves, ARNP
• Richard Edwards Construction
• Michele B Richardson, ARNP,FNP-BC
• Roderick K Shaw III DMD PA
• Clint A Rogers, DMD
• Rosa's Caring Heart, LLC
• S&S Senior Housing of Madison LLC.

• Surgery Physician in Madison, FL
• Providers in Madison, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.