Individual provider Active NPI

John D Richmond, MD

  • Nephrology Physician
  • Dalton, GA
National Provider Identifier
1134112915
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
26018 Issued in GA
Practice address
1504 N Thornton Ave Ste 107
Dalton, GA 30720-8394
Phone
(706) 278-0138
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 26018 GA Primary

Addresses

Primary practice location

1504 N Thornton Ave Ste 107
Dalton, GA 30720-8394

Mailing address

1506 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20240726001710 GA Practitioner - Internal Medicine 1658408000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Medical Center, IncGroup PAC ID 0446151179, 105 clinicians

Practice addresses (Care Compare)

1432 Broadrick Dr
Dalton, GA 30720-3009
Phone (706) 226-8990

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Hypertension Specialists PC Nephrology CurrentSince Dec 1, 2009 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jul 22, 2024 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
Hamilton Physician Group Inc Past Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1504 N Thornton Ave
Dalton, GA 30720
Phone (706) 279-1551

1504 N Thornton Ave
Ste 107
Dalton, GA 30720
Phone (706) 226-1565

1506 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-3430

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1134112915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-3430",
            "fax_number": "706-279-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N THORNTON AVE STE 107",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208394",
            "telephone_number": "706-278-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "26018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.