Individual provider Active NPI

Caroline B. Richards, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1629619895
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R070440 Issued in GA
Practice address
223 James P Brawley Dr SW
Atlanta, GA 30314-4385
Phone
(404) 880-6146
Fax
(404) 880-6010
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 R070440 GA Primary

Addresses

Primary practice location

223 James P Brawley Dr SW
Atlanta, GA 30314-4385

Mailing address

223 James P Brawley Dr SW
Atlanta, GA 30314-4385
Phone (404) 880-6146

Other names 1

  • Caroline Bongi Ndlovu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R070440GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1629619895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 JAMES P BRAWLEY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303144385",
            "telephone_number": "404-880-6146",
            "fax_number": "404-880-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 JAMES P BRAWLEY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303144385",
            "telephone_number": "404-880-6146",
            "fax_number": "404-880-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CAROLINE",
        "middle_name": "B.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R070440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "NDLOVU",
            "middle_name": "BONGI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.