Individual provider Active NPI

Richardson Desmangles, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1467100487
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
307243 Issued in GA
Practice address
3915 Cascade Rd SW Ste T-90
Atlanta, GA 30331-8660
Phone
(404) 564-7749
NPI assigned
Mar 17, 2022
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 307243 GA Primary

Addresses

Primary practice location

3915 Cascade Rd SW Ste T-90
Atlanta, GA 30331-8660

Mailing address

3915 Cascade Rd SW Ste T-90
Atlanta, GA 30331-8660
Phone (404) 564-7749

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630001425 GA Practitioner - Nurse Practitioner 8820478365 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3915 Cascade Rd SW
Suite T 90
Atlanta, GA 30331-8660
Phone (404) 564-7749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307243GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Englerston Health Corporation CurrentSince Jul 31, 2025 Accepting new patients
Kays Urgent Care Clinic LLC CurrentSince May 1, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 17, 2023 Accepting new patients
Advanced Pro Wound Care LLC Family CurrentSince Jul 4, 2025 Accepting new patients
Health Education, Assessment and Leadership, Inc CurrentSince Jun 4, 2022 Accepting new patients
Health Education Assessment and Leadership, Inc Past Accepting new patients
Health Education Assessment and Leadership, Inc PastSince Oct 11, 2020 Accepting new patients

Locations

3915 Cascade Rd SW
Ste 340
Atlanta, GA 30331

3915 Cascade Rd SW
Ste T-90
Atlanta, GA 30331
Phone (404) 989-9891

4215 Bakers Ferry Rd SW
Atlanta, GA 30331
Phone (404) 564-7729

6675 E SPG St
Douglassville, GA 30134
Phone (678) 549-2323

3666 Highway 5
Douglasville, GA 30135

6575 Spring St
Douglasville, GA 30134
Phone (678) 549-2323

7447 Douglas Blvd
Ste 107F
Douglasville, GA 30135
Phone (770) 870-0337

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

4171 Marietta St
Ste 300A
Powder Springs, GA 30127
Phone (678) 549-2323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1467100487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE T-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318660",
            "telephone_number": "404-564-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE T-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318660",
            "telephone_number": "404-564-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMANGLES",
        "first_name": "RICHARDSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "307243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.