Individual provider Active NPI

Colby Allen Richardson, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1558724799
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME145683 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Apr 4, 2016
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X MD476365 PA
Neurology Physician 2084N0400X 22255 NH
Neurology Physician 2084N0400X 100312 MT
Neurology Physician 2084N0400X T3540 TX
Neurology Physician 2084N0400X ME145683 FL Primary
Hospitalist Physician 208M00000X ME145683 FL

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 250-2506

Other practice location 1

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Other practice location 2

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 972-2000 ext. 7085

Other practice location 3

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND, MI, AZ, WA, OR, OH, GA, NH, IA, NY, KY, PA, MO, NC15 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20210806002491 FL Practitioner - Neurology 2567866973 Reassigns benefits to 15 organizations
I20211025002187 ND Practitioner - Neurology 2567866973 Reassigns benefits to 2 organizations
I20211119000343 MI Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization
I20211206001406 AZ Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization
I20211208002301 WA Practitioner - NeurologyPractitioner - Psychiatry 2567866973 Reassigns benefits to 1 organization
I20211208003192 OR Practitioner - NeurologyPractitioner - Psychiatry 2567866973 Reassigns benefits to 6 organizations
I20211215001708 OH Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization
I20211229001408 GA Practitioner - Neurology 2567866973 Reassigns benefits to 3 organizations
I20220113002029 NH Practitioner - Neurology 2567866973 Reassigns benefits to 4 organizations
I20220324002095 IA Practitioner - Neurology 2567866973
I20220516001330 NY Practitioner - Neurology 2567866973 Reassigns benefits to 4 organizations
I20221028000710 KY Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization
I20230126001220 PA Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization
I20230928003686 MO Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization
I20251001003219 NC Practitioner - Neurology 2567866973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Pennsylvania State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Samaritan Hospital Medical CenterGroup PAC ID 5294639951, shared by 4 NPIs, 152 clinicians
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Telespecialists North Carolina Neurology Services PLLCGroup PAC ID 7719348978, 28 clinicians
Virtual Neurology Kansas LLCGroup PAC ID 9436694270, 47 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

Tampa, FL 33615
Phone (631) 376-6000

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

10528 Parkers Landing Dr
Apt 528
Tampa, FL 33615-5804
Phone (516) 579-6000

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

1698 McGregor Reserve Dr
Fort Myers, FL 33901-9657
Phone (239) 208-2212

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 880-3408

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone (603) 279-7464

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

3905 W Corona St
Tampa, FL 33629-8641
Phone (239) 208-2212

4188 Little Gap Loop
Ellenton, FL 34222-3912
Phone (706) 647-8111

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

4731 Red Pine Way
Wesley Chapel, FL 33545-5064
Phone (239) 208-2212

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-4500

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

9385 Yate CT
Melbourne, FL 32940-6586
Phone (239) 208-2212

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100312MTMDNeurology Physician
22255NHMDNeurology Physician
MD476365PAMDNeurology Physician
ME145683FLMDHospitalist Physician

Practice roles (60 of 65)

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 29, 2022 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Aug 28, 2023 Accepting new patients
Nchmd, Inc CurrentSince Apr 1, 2023 Accepting new patients
Altru Health System CurrentSince Sep 23, 2021 Accepting new patients
Concord Hospital-Laconia CurrentSince Jun 1, 2022 Accepting new patients
St Alexius Medical Center CurrentSince Feb 16, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH Current Accepting new patients
Mercy Medical Center CurrentSince Apr 17, 2025 Accepting new patients
Altru Health System CurrentSince Sep 23, 2021 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jan 1, 2022 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Feb 3, 2022 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 29, 2022 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
St. Alexius Medical Center CurrentSince Feb 16, 2022 Accepting new patients
Silverton Health CurrentSince Jun 12, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 27, 2022 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 17, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Aug 5, 2021 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Nov 29, 2022 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Apr 3, 2024 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Apr 2, 2022 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Dec 2, 2021 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 29, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Feb 22, 2022 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
St Charles Hospital Corp CurrentSince Feb 3, 2022 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Lakeland Medical Practices CurrentSince Oct 17, 2021 Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince Feb 14, 2022 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Feb 3, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 17, 2021 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Feb 14, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 29, 2022 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Oct 21, 2023 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Aug 28, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jun 21, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Lee Health System Inc CurrentSince Jan 6, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 2, 2021 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Legacy Clinics LLC CurrentSince Dec 2, 2021 Accepting new patients
Lee Memorial Health System CurrentSince Aug 5, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 29, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Hospitalist CurrentSince Feb 14, 2022 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Nchmd Inc CurrentSince Apr 1, 2023 Accepting new patients
Silverton Health CurrentSince Jun 12, 2023 Accepting new patients
Upson Medical Associates LLC CurrentSince Aug 20, 2024 Accepting new patients
St. Joseph Hospital CurrentSince Feb 3, 2022 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Dec 2, 2021 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Lee Health System Inc CurrentSince Jan 6, 2025 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince May 13, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 27, 2022 Accepting new patients
Virtual Neurology New Jersey LLC Neurology CurrentSince Feb 28, 2024 Accepting new patients

Locations (25 of 60)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: crichardson230541@santaclaravalley.direct-ci.net
  • Direct secure messaging: crichardson4030663@direct.trinity-health.org
  • Direct secure messaging: crichardson499798@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: crichardson71890@epicdirect.hf.org
  • Direct secure messaging: crichardson777190@direct.ketteringhealth.org
  • Direct secure messaging: crichardson779413@direct.emplifyhealth.org

Organizations & group practices 69

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.

View all 69

Hospital & facility affiliations 7

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1558724799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438",
            "telephone_number": "813-250-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Davis Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063438",
            "country_code": "US",
            "telephone_number": "813-972-2000 x7085",
            "fax_number": "813-978-5995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "COLBY",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD476365",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "22255",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "100312",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T3540",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME145683",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME145683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.