Active NPI
Kayla D Richardson, MD
- Family Medicine Physician
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 610110
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888613 | Medicaid | SC |
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
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 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610110 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| Georgia Highlands Medical Services, Inc | Current | Accepting new patients | |
| Georgia Highlands Medical Services Inc | Current | Accepting new patients | |
| SC House Calls Inc | Family Medicine | Current | Accepting new patients |
| Conway Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Lawrenceville Family Practice | Current | Accepting new patients | |
| Oak Street Health Physicians Group of South Carolina, LLC | Family Medicine | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Buford, GA
- NPI 1427762707
-
dba Dawsonville Family Health Center
- Federally Qualified Health Center (FQHC)
- Dawsonville, GA
- NPI 1124565650
-
- Health Maintenance Organization
- Lawrenceville, GA
- NPI 1831378249
-
dba CMC Occupational Health
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1821756826
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Primary Care Clinic/Center
- Greenville, SC
- NPI 1023614914
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.