Active NPI
William E Richardson, MD
- Emergency Medicine Physician
- Marietta, GA
National Provider Identifier
1083712822
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 026631
- Practice address
- 950 Cobb Pkwy S
#191
Marietta, GA 30060-6544 - Phone
- (770) 419-4471
- Fax
- (770) 419-4473
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 026631 | GA | Primary |
Addresses
Primary practice location
950 Cobb Pkwy S
#191
Marietta, GA 30060-6544
Mailing address
950 Cobb Pkwy S
#191
Marietta, GA 30060-6544
Phone (770) 419-4471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Dodge Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Chatuge Regional Hospital Inc | Past | Accepting new patients | |
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Hiawassee, GA
- NPI 1265811962
-
- Emergency Medicine Physician
- Ellijay, GA
- NPI 1336172923
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1083712822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 COBB PKWY S",
"address_2": "#191",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606544",
"telephone_number": "770-419-4471",
"fax_number": "770-419-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 COBB PKWY S",
"address_2": "#191",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606544",
"telephone_number": "770-419-4471",
"fax_number": "770-419-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "026631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.