Justin Kyle Richardson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5018504 Issued in NC

Practice address

522 Allen St.
Suite 103
Troy, NC 27371-2861

Phone

(910) 571-5372

Fax

(910) 571-5373

NPI assigned

Jul 21, 2023

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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Community Health Center IncorporatedGroup PAC ID 4587642590, 50 clinicians

MCPC-6 LLCGroup PAC ID 5294990123, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrichardson228451@direct.medicine.duke.edu
• Direct secure messaging: jrichardson129205@firsthealth.direct-ci.net

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.

• Lincoln Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
  • NPI 1114978582
  Medicare reassignment Care Compare group NPD
• MCPC-6, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Troy, NC
  • NPI 1235591892
  Medicare reassignment Care Compare group NPD
• Lincoln Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
  • NPI 1114614518
  NPD
• MCPC-6, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Fayetteville, NC
  • NPI 1598431710
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1497435663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072398",
            "telephone_number": "919-956-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 ALLEN ST.",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712861",
            "telephone_number": "910-571-5372",
            "fax_number": "910-571-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JUSTIN",
        "middle_name": "KYLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Program Resource Institute, Inc.
• Raleigh Durham Medical Group, PA
• Tamela Marie Raynor, P.A.-C
• Reaching Out Adult Services
• Reaching Your Goals
• Heather A. Rogers, M.D.
• Nancy Alice Ruppert, FNP
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Sandhills Cooperation Association

• Family Nurse Practitioner in Troy, NC
• Providers in Troy, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
• 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.