Active NPI
Richard A Lauderdale Jr., PA
- Medical Physician Assistant
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051556080 | Medicaid | AL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
101 Kelley Blvd
Suite D
Millbrook, AL 36054-2221
Phone (334) 245-2600
Hospital & facility affiliations
- Prattville Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA151 | AL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | 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
- richard.lauderdale@direct.baptistfirst.org
- 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.
-
- Family Medicine Physician
- Millbrook, AL
- NPI 1962870477
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Physical Therapy Clinic/Center
- Montgomery, AL
- NPI 1720755770
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
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
- 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.