Timothy Gerard Richardson

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

008459 Issued in GA

Practice address

11348 Tara Blvd Ste 100
Hampton, GA 30228-6277

Phone

(404) 606-0712

NPI assigned

Jun 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dr. Timothy Gerard Richardson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Arthra Spine and Pain LLC

  • Chiropractor
  • Roswell, GA
  • NPI 1275126476
  NPD Authorized official

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1326276858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 TARA BLVD STE 100",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286277",
            "telephone_number": "404-606-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 TARA BLVD STE 100",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286277",
            "telephone_number": "404-606-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TIMOTHY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "008459",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "008459",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "008459",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "GA",
            "license": "008459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008459",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "RICHARDSON",
            "middle_name": "GERARD",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Refuge Family Care
• Samantha Hailey Reinert
• Renew Wellness Inc
• Alexandra Elizabeth Rentschler, PHARM.D.
• Karen Richards-Reynolds, FNP-C
• Right Care Health Services LLC
• Elberlene Latoya Rivers, MA, DOULA
• Suzette Roberts, LMSW
• Shaketea Robinson
• Royal Hands Healthcare Services, Inc

• Orthopedic Chiropractor in Hampton, GA
• Providers in Hampton, GA by specialty
• Orthopedic Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.