Active NPI
Michael D Richardson, MD
- Internal Medicine Physician
- Dickson, TN
National Provider Identifier
1184603839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21630
- Practice address
- 1904 Highway 46 S Ste 3
Dickson, TN 37055-7745 - Phone
- (615) 441-6000
- NPI assigned
- Jan 11, 2006
- Last updated
- Jan 25, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21630 | TN | Primary |
Addresses
Primary practice location
1904 Highway 46 S Ste 3
Dickson, TN 37055-7745
Mailing address
PO Box 3370
Clarksville, TN 37043-3370
Phone (931) 647-5034
Other practice location 1
1226 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury Emergency Physicians PLLC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Columbia, TN
- NPI 1952380610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1184603839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3370",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370433370",
"telephone_number": "931-647-5034",
"fax_number": "931-552-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 HIGHWAY 46 S STE 3",
"city": "DICKSON",
"state": "TN",
"postal_code": "370557745",
"telephone_number": "615-441-6000"
}
],
"practiceLocations": [
{
"address_1": "1226 Trotwood Ave",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "TN",
"postal_code": "384014802",
"country_code": "US",
"telephone_number": "931-381-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "21630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.