Matthew Vaughn Terrence Richmond

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010608 Issued in GA

Practice address

3505 Salem Rd
Covington, GA 30016-4551

Phone

(229) 291-4946

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CHC Suwanee LLC

  dba Connected Health Suwanee

  • Chiropractor
  • Suwanee, GA
  • NPI 1770468555
  NPD (past)
• Lifegiving Chiropractic Suwanee LLC

  • Chiropractor
  • Suwanee, GA
  • NPI 1497466957
  NPD (past)

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1386419596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 SALEM RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164551",
            "telephone_number": "229-291-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "MATTHEW",
        "middle_name": "VAUGHN TERRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Reynolds, CPNP-PC
• Mali Rice
• Bob Wansley Richardson, RPH
• Richardsons Pharmacy Inc (Peoples Drug Store)
• Maryse Richer-Godbey, OTR/L
• Richway Nemt LLC
• Olivia Ricks, M.S. CCC-SLP
• Cassandra Catherine Riley, PA
• Daniel T Riley, MD
• Renee' S Riley, M.D.

• Chiropractor in Covington, GA
• Providers in Covington, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.