Individual provider Active NPI

Ghari N Richardson, MD

  • Anesthesiology Physician
  • Valdosta, GA
National Provider Identifier
1306859020
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
059948 Issued in GA
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

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
134304244BMedicaidGA
134304244CMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000731 GA Practitioner - Anesthesiology 4082661624 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
059948GAMDAnesthesiology Physician
207959-1NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ghari Richardson MD Foa PC Pain Medicine CurrentSince Dec 19, 2016 Accepting new patients
Care Medical Center LLC CurrentSince Oct 31, 2013 Accepting new patients
South Georgia Anesthesia Specialists LLC Anesthesiology Current Accepting new patients
Care Medical Center LLC CurrentSince Oct 31, 2013 Accepting new patients
Ghari Richardson MD Foa PC Pain Medicine PastSince Feb 1, 2007 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

  • Direct secure messaging: gharirichardson.gharirichardson@135843.advancedmd-direct.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.