Active NPI
Cheryl Hermione Richmond, M.D.
- Pediatrics Physician
- Conyers, GA
National Provider Identifier
1275584542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 033255
- Practice address
- 1478 Dogwood Drive, Ste. B & C
Kaiser Permanente Medical Office
Conyers, GA 30013 - Phone
- (770) 909-8007
- Fax
- (770) 909-8005
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 033255 | GA | Primary |
Addresses
Primary practice location
1478 Dogwood Drive, Ste. B & C
Kaiser Permanente Medical Office
Conyers, GA 30013
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
Other names 1
- Cheryl Roberts
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033255 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1275584542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070",
"fax_number": "770-909-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1478 DOGWOOD DRIVE, STE. B & C",
"address_2": "KAISER PERMANENTE MEDICAL OFFICE",
"city": "CONYERS",
"state": "GA",
"postal_code": "30013",
"telephone_number": "770-909-8007",
"fax_number": "770-909-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "CHERYL",
"middle_name": "HERMIONE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "033255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "ROBERTS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.