Active NPI
Rebecca Faith Richardson
- Physician Assistant
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06391
- Practice address
- 4136 Clemmons Rd
Clemmons, NC 27012 - Phone
- (336) 893-3270
- NPI assigned
- May 9, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-06391 | NC | Primary |
Addresses
Primary practice location
4136 Clemmons Rd
Clemmons, NC 27012
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
1122 Randolph St Ste 110
Thomasville, NC 27360-5730
Phone (336) 481-0739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1123 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-4400
1127 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7100
1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 443-6041
3711 Elmsley St
Suite 102
Greensboro, NC 27406-7039
Phone (336) 890-2200
501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000
509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970
5303 Poplar Tent Rd
Suite 90
Concord, NC 28027-9720
Phone (980) 866-4493
600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (366) 774-0040
910 E Innes St
Salisbury, NC 28144-4638
Phone (844) 266-8268
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-06391 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Carolina Medicorp Enterprises Inc | Past | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510
4136 Clemmons Rd
Clemmons, NC 27012
Phone (336) 893-1300
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219
1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433
600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Urgent Care Clinic/Center
- South Charleston, WV
- NPI 1912133315
-
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
-
- Family Medicine Physician
- Elon, NC
- NPI 1558063958
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1417497504
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1184070237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 CLEMMONS RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "27012",
"telephone_number": "336-893-3270"
}
],
"practiceLocations": [
{
"address_1": "1122 Randolph St Ste 110",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "NC",
"postal_code": "273605730",
"country_code": "US",
"telephone_number": "336-481-0739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "REBECCA",
"middle_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.