Christopher Richards, M.D.

Key facts

NPI

1164475893

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

058316 (GA)

Practice address

201 Poplar St
Ideal, GA 31041-6264

Phone

(478) 244-2866

Fax

(404) 478-8420

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 11

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.

• Dr. Christopher S Richards MD LLC Family Medicine Physician · Montezuma, GA · NPI 1831341775
  Medicare reassignment Authorized official GA
• Careconnect Health, Inc. Federally Qualified Health Center (FQHC) · Richland, GA · NPI 1063436624
  Medicare reassignment NPD GA
• Premier Healthcare Investments General Acute Care Hospital · Montezuma, GA · NPI 1528497351
  Medicare reassignment NPD GA
• Flint River Primary Care Family Medicine Physician · Montezuma, GA · NPI 1639147549
  NPD (past) Authorized official FAMILY MEDICINE
• Careconnect Health, Inc. Federally Qualified Health Center (FQHC) · Sylvester, GA · NPI 1811874696
  NPD
• Houston Hospitals Inc General Acute Care Hospital · Warner Robins, GA · NPI 1962435792
  NPD
• Premier Healthcare Investments Medicare Defined Swing Bed Hospital Unit · Montezuma, GA · NPI 1588093637
  NPD
• Therapy on the Go LLC Professional Counselor · Montezuma, GA · NPI 1740538701
  NPD FAMILY MEDICINE
• Flint Emergency Medicine LLC Emergency Medicine Physician · Montezuma, GA · NPI 1912212432
  NPD (past)
• Flint River Medi Cal Group, LLC Surgery Physician · Montezuma, GA · NPI 1235340969
  NPD (past)
• Miona Geriatric & Dementia Center, LLC Skilled Nursing Facility · Ideal, GA · NPI 1215919709
  NPD (past)

Hospital & facility affiliations 3

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

• Miona Geriatric & Dementia Center, LLC Skilled Nursing Facility · Ideal, GA · NPI 1215919709
  Care Compare affiliation Nursing home
• Phoebe Sumter Medical Center, Inc. General Acute Care Hospital · Americus, GA · NPI 1609001312
  Care Compare affiliation Hospital
• Vistacare USA, LLC Community Based Hospice Care Agency · Columbus, GA · NPI 1801834593
  Care Compare affiliation Hospice

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Miona Geriatric & Dementia Center, LLC Skilled Nursing Facility · Ideal, GA · NPI 1215919709
  CMS ownership ADP OF THE SNF

Medicare Care Compare profile

Specialty

Family Practice
Also: General Surgery

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Careconnect Health Inc (26 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice · Columbus, GA · CCN 111560
• Phoebe Sumter Medical Center Hospital · Americus, GA · CCN 110044
• Miona Geriatric & Dementia Center Nursing home · Ideal, GA · CCN 115338

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 48)

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2023.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1164475893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 POPLAR ST",
            "city": "IDEAL",
            "state": "GA",
            "postal_code": "310416264",
            "telephone_number": "478-244-2866",
            "fax_number": "404-478-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 POPLAR ST",
            "city": "IDEAL",
            "state": "GA",
            "postal_code": "310416264",
            "telephone_number": "478-244-2866",
            "fax_number": "404-478-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123048280F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123048280A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ideal, GA

• Joanna Dodson Gay, OTA
• Gina Maria Hartigan
• Miona Geriatric & Dementia Center, LLC
• Miona Geriatric and Dementia Center, LLC

All providers in Ideal, GA · Family Medicine Physician in Georgia