Individual provider Active NPI

Richard A Lauderdale Jr., PA

  • Medical Physician Assistant
  • Montgomery, AL
National Provider Identifier
1073564670
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA151 Issued in AL
Practice address
400 Taylor Rd
Montgomery, AL 36117-3512
Phone
(334) 272-1050
Fax
(818) 587-2493
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA151 AL Primary

Addresses

Primary practice location

400 Taylor Rd
Montgomery, AL 36117-3512

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 273-4508

Other identifiers 1

IdentifierTypeStateIssuer
051556080MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000807 AL Practitioner - Physician Assistant 6305835851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Alabama Medical Contractors, IncGroup PAC ID 8426437799, 3 clinicians

Practice addresses (Care Compare)

101 Kelley Blvd
Suite D
Millbrook, AL 36054-2221
Phone (334) 245-2600

Hospital & facility affiliations

  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA151ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 19, 2015 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 19, 2015 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
Georgia Emergency Associates Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1595 E Main St
Prattville, AL 36066
Phone (334) 361-3171

Interoperability endpoints

  • Direct secure messaging: richard.lauderdale@direct.baptistfirst.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEHCD/Endpoint/BFEHCD

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073564670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-273-4508",
            "fax_number": "334-273-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173512",
            "telephone_number": "334-272-1050",
            "fax_number": "818-587-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERDALE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051556080",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.