Active NPI
Maxwell Baker Richardson
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1407588445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 112046
- Practice address
- 100 Woodruff Cir NE Ste P375
Atlanta, GA 30322-1020 - Phone
- (404) 727-5655
- NPI assigned
- Jun 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 112046 | GA | Primary |
Addresses
Primary practice location
100 Woodruff Cir NE Ste P375
Atlanta, GA 30322-1020
Mailing address
100 Woodruff Cir NE Ste P375
Atlanta, GA 30322-1020
Phone (404) 727-5655
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260427003674 | GA | Order and Referring Only - Obstetrics/Gynecology | 3476020454 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112046 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1407588445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE P375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221020",
"telephone_number": "404-727-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE P375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221020",
"telephone_number": "404-727-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MAXWELL",
"middle_name": "BAKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-28",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "112046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Kendra Suggs Richardson, M.D.
- Laura Suzanne Richardson, DDS
- Lisa Carolyn Richardson, M.D.
- Matthew Richardson, LMFT
- Matthew M Richardson, M.D.
- Michelle Nicole Richardson, BSN, RN
- Monica Medea Richardson
- Patricia L Richardson, NP
- Paula Lynn Richardson, NP
- Rashin William Fitzgerald Richardson, LMSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.