Individual provider Active NPI

Kayla D Richardson, MD

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1538554597
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
610110 Issued in GA
Practice address
1915 Trees of Kennesaw Pkwy NW
Kennesaw, GA 30152-8211
Phone
(304) 685-0545
NPI assigned
Apr 6, 2015
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 610110 GA Primary

Addresses

Primary practice location

1915 Trees of Kennesaw Pkwy NW
Kennesaw, GA 30152-8211

Mailing address

1915 Trees of Kennesaw Pkwy NW
Kennesaw, GA 30152-8211
Phone (304) 685-0545

Other identifiers 1

IdentifierTypeStateIssuer
888613MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1915 Trees of Kennesaw Pkwy NW
Kennesaw, GA 30152-8211

260 Elm St
Cumming, GA 30040-2467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.78 of 100Reported as group
Quality
55.48
Improvement activities
0
Cost
74.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
610110GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 10, 2024 Accepting new patients
Georgia Highlands Medical Services, Inc CurrentSince Dec 5, 2025 Accepting new patients
Georgia Highlands Medical Services Inc CurrentSince Dec 5, 2025 Accepting new patients
SC House Calls Inc Family Medicine CurrentSince Oct 10, 2024 Accepting new patients
Conway Hospital, Inc. Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Lawrenceville Family Practice Current Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Family Medicine PastSince Aug 1, 2024 Accepting new patients

Locations

220 Oakside Ln
Canton, GA 30114
Phone (678) 807-1050

775 West Ave
Ste A
Cartersville, GA 30120
Phone (470) 315-4689

260 Elm St
Cumming, GA 30040
Phone (470) 297-1004

1730 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043
Phone (770) 338-0089

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

4022 Postal Way
Ste 101
Myrtle Beach, SC 29579
Phone (843) 234-7360

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

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

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.

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1538554597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 TREES OF KENNESAW PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528211",
            "telephone_number": "304-685-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 TREES OF KENNESAW PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528211",
            "telephone_number": "304-685-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KAYLA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "610110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.