Individual provider Active NPI

Elliott Grant Richards, MD

  • Reproductive Endocrinology Physician
  • Winston Salem, NC
National Provider Identifier
1326489063
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
2025-01793 Issued in NC
Practice address
111 Hanestown CT Ste 351
Winston Salem, NC 27103-1749
Phone
(336) 716-6476
Fax
(336) 716-0194
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.131163 OH
Reproductive Endocrinology Physician 207VE0102X 35.131163 OH
Student in an Organized Health Care Education/Training Program 390200000X
Reproductive Endocrinology Physician 207VE0102X 2025-01793 NC Primary

Addresses

Primary practice location

111 Hanestown CT Ste 351
Winston Salem, NC 27103-1749

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6476

Other practice location 1

9500 Euclid Ave Dept Obgyn
Cleveland, OH 44195-0001
Phone (216) 372-1875

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170728003055 OH Practitioner - Obstetrics/Gynecology 6305089350 Reassigns benefits to 3 organizations
I20250818002837 NC Practitioner - Obstetrics/Gynecology 6305089350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.131163OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Mar 26, 2018 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jun 9, 2025 Accepting new patients
University Hospitals Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 6, 2019 Accepting new patients
Parma Community General Hospital Association CurrentSince May 1, 2018 Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
Parma Community General Hospital Association CurrentSince May 1, 2018 Accepting new patients

Locations

111 Hanestown Ct
#351
Winston Salem, NC 27103
Phone (336) 716-6476

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

9500 Euclid Ave
#A81
Cleveland, OH 44195
Phone (216) 445-2358

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: erichards3016872@carolinashealthcaresystem.direct-ci.com

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1326489063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6476",
            "fax_number": "336-716-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANESTOWN CT STE 351",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031749",
            "telephone_number": "336-716-6476",
            "fax_number": "336-716-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave Dept Obgyn",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-372-1875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ELLIOTT",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.131163",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35.131163",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "2025-01793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.