Active NPI
Ghari N Richardson, MD
- Anesthesiology Physician
- Valdosta, GA
National Provider Identifier
1306859020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 059948
- Practice address
- 4625 Rain Wood Cir
Valdosta, GA 31602-0835 - Phone
- (229) 244-3530
- NPI assigned
- Aug 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 207959-1 | NY | |
| Anesthesiology Physician | 207L00000X | 059948 | GA | Primary |
Addresses
Primary practice location
4625 Rain Wood Cir
Valdosta, GA 31602-0835
Mailing address
4625 Rain Wood Cir
Valdosta, GA 31602-0835
Phone (229) 244-3530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134304244B | Medicaid | GA | |
| 134304244C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3811 Old US Hwy 41 N
Valdosta, GA 31602-6807
Phone (229) 244-3530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059948 | GA | MD | Anesthesiology Physician |
| 207959-1 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghari Richardson MD Foa PC | Pain Medicine | Current | Accepting new patients |
| Care Medical Center LLC | Current | Accepting new patients | |
| South Georgia Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| Care Medical Center LLC | Current | Accepting new patients | |
| Ghari Richardson MD Foa PC | Pain Medicine | Past | Accepting new patients |
| South Georgia Regional Anesthesia, PC | Past | Accepting new patients |
Locations
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
3811 Old US Highway 41 N
Valdosta, GA 31602
Phone (229) 244-3530
2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925
Interoperability endpoints
- gharirichardson.gharirichardson@135843.advancedmd-direct.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
- Pain Medicine (Anesthesiology) Physician
- Valdosta, GA
- NPI 1902358104
-
- Anesthesiology Physician
- Valdosta, GA
- NPI 1700054327
-
- Pain Medicine (Anesthesiology) Physician
- Amsterdam, NY
- NPI 1881624120
-
- Exclusive Provider Organization
- Valdosta, GA
- NPI 1063521250
-
- Chiropractor
- Waycross, GA
- NPI 1376236232
-
- Specialist
- Valdosta, GA
- NPI 1396763256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1306859020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 RAIN WOOD CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316020835",
"telephone_number": "229-244-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 RAIN WOOD CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316020835",
"telephone_number": "229-244-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "GHARI",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "207959-1",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "059948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134304244B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134304244C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.