Richard A Olson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

029924 Issued in GA

Practice address

855 Austin Dr
Demorest, GA 30535-4513

Phone

(706) 754-8339

Fax

(706) 754-8460

NPI assigned

May 27, 2005

Last updated

Apr 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: richard.olson@hcmcmed.gadirect.net

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.

• The Hospital Authority of Habersham County

  • Clinical Medical Laboratory
  • Demorest, GA
  • NPI 1356473524
  NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1194728790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305350657",
            "telephone_number": "706-754-8339",
            "fax_number": "706-754-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 AUSTIN DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354513",
            "telephone_number": "706-754-8339",
            "fax_number": "706-754-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "029924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000355044H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Medical Center Habersham LLC
• Northeast Georgia Medical Habersham LLC
• Northside Imaging LLC
• Northwest Diagnostic Imaging, Inc (MRI & Imaging of Habersham, LLC)
• Ogles Oxygen, LLC
• Open MRI of Georgia, Inc (Open MRI & Imaging of Habersham)
• Thomas A Opilka, CRNA
• Alan R Opsahl, MD
• Sarah Jeanette Parker, NP-C
• Susan Jane Parr, AU.D.

• Surgery Physician in Demorest, GA
• Providers in Demorest, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.