Individual provider Active NPI

Rishana Latrice Richardson

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1528679172
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179735 Issued in VA
Practice address
2450 Atlanta Hwy Ste 904
Cumming, GA 30040-1252
Phone
(404) 659-5909
NPI assigned
Aug 16, 2020
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 0024179735 VA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 904
Cumming, GA 30040-1252

Mailing address

1650 Anderson Mill Rd Apt 11103
Austell, GA 30106-1295
Phone (910) 376-6674

Other practice location 1

7048 Mechanicsville Tpke
Mechanicsville, VA 23111-7101
Phone (804) 730-9498

Other practice location 2

7410 Hull Street Rd Ste 102
North Chesterfield, VA 23235-5834
Phone (240) 615-8975

Other identifiers 2

IdentifierTypeStateIssuer
GAA-NP000584OtherGAGEORGIA BOARD OF NURSING
002419735OtherVAVA BOARD OF NURSING

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
I20220322002246 GA Practitioner - Nurse Practitioner 8628484276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Physicians of Georgia, P.C.Group PAC ID 4082696109, 12 clinicians

Practice addresses (Care Compare)

2450 Atlanta Hwy
Suite 904
Cumming, GA 30040-1252
Phone 4046595909221

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024179735VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Physicians of Georgia, P.C. CurrentSince Feb 1, 2022 Accepting new patients

Locations

2450 Atlanta Hwy
Ste 904
Cumming, GA 30040
Phone 4046595909221

2675 Main St W
Snellville, GA 30078
Phone (404) 493-4381

Interoperability endpoints

  • Direct secure messaging: rishanarichardson@rpgpc.allscriptsdirect.net

Organizations & group practices 1

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1528679172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ANDERSON MILL RD APT 11103",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061295",
            "telephone_number": "910-376-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 904",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "404-659-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7048 Mechanicsville Tpke",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231117101",
            "country_code": "US",
            "telephone_number": "804-730-9498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7410 Hull Street Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355834",
            "country_code": "US",
            "telephone_number": "240-615-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RISHANA",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSING",
            "identifier": "GAA-NP000584",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF NURSING",
            "identifier": "002419735",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.