Individual provider Active NPI

Cole McKee Richardson, DO

  • Ophthalmology Physician
  • Hattiesburg, MS
National Provider Identifier
1487148243
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33128 Issued in MS
Practice address
109 Millsaps Dr
Hattiesburg, MS 39402-1587
Phone
(601) 818-2957
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5151009600 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 33128 MS
Ophthalmology Physician 207W00000X 33128 MS Primary

Addresses

Primary practice location

109 Millsaps Dr
Hattiesburg, MS 39402-1587

Mailing address

109 Millsaps Dr Ste B
Hattiesburg, MS 39402-1587
Phone (601) 255-0736

Other practice location 1

2208 University Blvd
Birmingham, AL 35233-2313
Phone (205) 933-2625

Other identifiers 1

IdentifierTypeStateIssuer
5101024179MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 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
I20220603002110 AL Practitioner - Ophthalmology 5092193037 Reassigns benefits to 2 organizations
I20240528000119 MS Practitioner - Ophthalmology 5092193037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
William Carey University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Specialists of Mississippi, PLLCGroup PAC ID 8820370133, 7 clinicians

Practice addresses (Care Compare)

109 Millsaps Dr
Suite B
Hattiesburg, MS 39402-1587
Phone (601) 255-0736

Hospital & facility affiliations

  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151009600MIMDOphthalmology Physician
33128MSMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uab Callahan Eye Hospital Authority Current Accepting new patients
Retina Specialists of Alabama LLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Uab Callahan Eye Hospital Authority Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Retina Specialists of Mississippi, PLLC Ophthalmology CurrentSince May 1, 2024 Accepting new patients
Kebert Eye Clinic PLLC PastSince Oct 1, 2001 Accepting new patients
Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC Past Accepting new patients
Sunil Gupta MD LLC Ophthalmology PastSince May 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Jul 1, 2022 Accepting new patients

Locations

2208 University Blvd
Ste 101
Birmingham, AL 35233

2101 Highland Ave S
Ste 350
Birmingham, AL 35205
Phone (205) 558-2525

1720 University Blvd
Birmingham, AL 35233
Phone (205) 325-8387

103 Millsaps Dr
Hattiesburg, MS 39402
Phone (601) 268-5910

109 Millsaps Dr
Ste B
Hattiesburg, MS 39402
Phone (601) 225-0736

1307 Aston Ave
McComb, MS 39648
Phone (601) 255-0736

Interoperability endpoints

  • Direct secure messaging: cmrichardson@direct.uabmedicine.org
  • Direct secure messaging: crichardson@rsm.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1487148243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DR STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-255-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-818-2957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332313",
            "country_code": "US",
            "telephone_number": "205-933-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "COLE",
        "middle_name": "MCKEE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-07-10",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5151009600",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MS",
            "license": "33128",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "33128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5101024179",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.