Active NPI
W Scott Richardson, MD
- Internal Medicine Physician
- Athens, GA
National Provider Identifier
1326088402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 066804
- Practice address
- 1500 Oglethorpe Ave
Suite 200D
Athens, GA 30606-2179 - Phone
- (706) 389-3875
- Fax
- (706) 389-3876
- NPI assigned
- Jun 7, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.080564 | OH | |
| Internal Medicine Physician | 207R00000X | 066804 | GA | Primary |
Addresses
Primary practice location
1500 Oglethorpe Ave
Suite 200D
Athens, GA 30606-2179
Mailing address
PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2322687 | Medicaid | OH |
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 |
|---|---|---|---|
| 066804 | GA | MD | Internal Medicine Physician |
| 35.080564 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1326088402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48089",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048089",
"telephone_number": "706-389-3950",
"fax_number": "706-389-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE",
"address_2": "SUITE 200D",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062179",
"telephone_number": "706-389-3875",
"fax_number": "706-389-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "W",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.080564",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "066804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2322687",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.