NPIMap

Individual provider Active NPI

Connie Walker Richardson, MD

  • Family Medicine Physician
  • Centreville, AL
National Provider Identifier
1093815722
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21418 Issued in AL
Practice address
208 Pierson Ave
Centreville, AL 35042-2918
Phone
(205) 926-3284
Fax
(205) 926-4275
NPI assigned
Sep 23, 2006
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 21418 AL
Family Medicine Physician 207Q00000X ME96736 FL
Family Medicine Physician 207Q00000X 21418 AL Primary

Addresses

Primary practice location

208 Pierson Ave
Centreville, AL 35042-2918

Mailing address

208 Pierson Avenue
Bibb Medical Center
Centreville, AL 35034
Phone (205) 926-3284

Other identifiers 1

IdentifierTypeStateIssuer
276849600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041211000193 AL Practitioner - Family Practice 8426015462 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-4694

437 Belcher St
Centreville, AL 35042-2946

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Jul 15, 2018 Accepting new patients
American Family Care, LLC CurrentSince Jul 15, 2018 Accepting new patients
The Bibb County Healthcare Authority CurrentSince Apr 1, 2015 Accepting new patients
The Bibb County Healthcare Authority Past Accepting new patients
Niceville Family Practice LLC Family Medicine Past Accepting new patients

Locations

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

Interoperability endpoints

  • Direct secure messaging: connie.richardson.1@13200.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1093815722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "address_2": "BIBB MEDICAL CENTER",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "35034",
            "telephone_number": "205-926-3284",
            "fax_number": "205-926-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422918",
            "telephone_number": "205-926-3284",
            "fax_number": "205-926-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CONNIE",
        "middle_name": "WALKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "21418",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96736",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276849600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.