NPIMap

Individual provider Active NPI

Eddie Richardson, MD

  • Family Medicine Physician
  • Eatonton, GA
National Provider Identifier
1235107772
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052047 Issued in GA
Practice address
114 Harmony Xing Ste 1
Eatonton, GA 31024-9546
Phone
(706) 484-0884
Fax
(706) 484-0885
NPI assigned
Mar 10, 2006
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24642 SC
Family Medicine Physician 207Q00000X 052047 GA Primary
Adult Medicine Physician 207QA0505X 052047 GA

Addresses

Primary practice location

114 Harmony Xing Ste 1
Eatonton, GA 31024-9546

Mailing address

114 Harmony Xing Ste 1
Eatonton, GA 31024-9546
Phone (706) 484-0884

Other practice location 1

610 Ferncrest Dr Ste B
Sandersville, GA 31082-1863
Phone (478) 552-9000

Other identifiers 1

IdentifierTypeStateIssuer
T85360MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000779 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 1052213311 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Morehouse School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Oconee Partners in Healthcare, LLCGroup PAC ID 4688860364, 2 clinicians
Southland Emergency Medical Services Consolidated, LLCGroup PAC ID 4183871320, 48 clinicians
Dodge County Hospital AuthorityGroup PAC ID 1759372733, 14 clinicians

Practice addresses (Care Compare)

114 Harmony Xing
Suite 1
Eatonton, GA 31024-9546
Phone 7064840884109

610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 374-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052047GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Lake Oconee Partners in Healthcare, LLC Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Jan 7, 2024 Accepting new patients
Putnam General Hospital Authority CurrentSince Sep 1, 2011 Accepting new patients
Dodge County Hospital Authority Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Putnam General Hospital Authority CurrentSince Sep 1, 2011 Accepting new patients
Lake Oconee Medical Associates LLC Adult Medicine CurrentSince May 7, 2024 Accepting new patients
Dodge County Hospital Authority CurrentSince Jul 1, 2023 Accepting new patients
Medcare Physicians of Central Georgia, LLC Past Accepting new patients
Bestpractices of South Carolina, PC Emergency Medicine Past Accepting new patients
Southern Sky Outpatient Detox, LLC Past Accepting new patients
Immediate Medcare of Ellijay, LLC Past Accepting new patients
Acworth Outpatient Detox, LLC Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

114 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (706) 484-0884

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1235107772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884",
            "fax_number": "706-484-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARMONY XING STE 1",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249546",
            "telephone_number": "706-484-0884",
            "fax_number": "706-484-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Ferncrest Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Sandersville",
            "state": "GA",
            "postal_code": "310821863",
            "country_code": "US",
            "telephone_number": "478-552-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "EDDIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "24642",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052047",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "052047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T85360",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

Verify at the official NPI Registry.