Active NPI
Geri Richardson, M.D.
- Psychiatry Physician
- South Padre Island, TX
National Provider Identifier
1487855870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H8352
- Practice address
- 4405 Padre Blvd
South Padre Island, TX 78597-7324 - Phone
- (972) 689-1800
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 65303 | GA | |
| Psychiatry Physician | 2084P0800X | H8352 | TX | Primary |
Addresses
Primary practice location
4405 Padre Blvd
South Padre Island, TX 78597-7324
Mailing address
6223 Woodland Dr
Dallas, TX 75225-2838
Phone (972) 689-1800
Other practice location 1
6223 Woodland Dr
Dallas, TX 75225-2838
Phone (972) 689-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65303 | GA | MD | Psychiatry Physician |
| H8352 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Psychology Center, LLC | Psychiatry | Current | Accepting new patients |
| Premier Healthcare Investments | Current | Accepting new patients | |
| View Point Health | Current | Accepting new patients | |
| Premier Healthcare Investments | Current | Accepting new patients |
Locations
2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288
175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394
509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Montezuma, GA
- NPI 1528497351
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1063704542
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrenceville, GA
- NPI 1609853860
-
- Medicare Defined Swing Bed Hospital Unit
- Montezuma, GA
- NPI 1588093637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723334400000",
"number": "1487855870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6223 WOODLAND DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752252838",
"telephone_number": "972-689-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 PADRE BLVD",
"city": "SOUTH PADRE ISLAND",
"state": "TX",
"postal_code": "785977324",
"telephone_number": "972-689-1800"
}
],
"practiceLocations": [
{
"address_1": "6223 Woodland Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752252838",
"country_code": "US",
"telephone_number": "972-689-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "GERI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2024-08-11",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "65303",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H8352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Padre Island, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.