Active NPI
Anna Louise Richardson, FNP
- Family Nurse Practitioner
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN240818
- Practice address
- 3780 Old Norcross Rd
Suite 108
Duluth, GA 30096-1740 - Phone
- (404) 855-2244
- Fax
- (404) 793-6105
- NPI assigned
- Jun 17, 2014
- Last updated
- May 9, 2017
- 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 Nurse Practitioner | 363LF0000X | RN240818 | GA | Primary |
Addresses
Primary practice location
3780 Old Norcross Rd
Suite 108
Duluth, GA 30096-1740
Mailing address
114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144-5802
Phone (770) 485-3723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014009774 | Other | ANCC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Nortec Dr SE
Conyers, GA 30013-5835
Phone (770) 914-0116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Atlanta Allergy & Asthma Clinic PA | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000
1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514
2089 Teron Trce
Ste 250
Dacula, GA 30019
Phone (678) 801-4838
114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723
1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807
1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
Interoperability endpoints
- anna.richardson@elfp.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/HJBFBA
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- Allergy & Immunology Physician
- Atlanta, GA
- NPI 1598796195
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1639583776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 TOWNPARK DR NW",
"address_2": "STE 240",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445802",
"telephone_number": "770-485-3723",
"fax_number": "678-803-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 OLD NORCROSS RD",
"address_2": "SUITE 108",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961740",
"telephone_number": "404-855-2244",
"fax_number": "404-793-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ANNA",
"middle_name": "LOUISE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN240818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2014009774",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.