Individual provider Active NPI

Anna Louise Richardson, FNP

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1639583776
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN240818 Issued in GA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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 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

IdentifierTypeStateIssuer
2014009774OtherANCC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502001280 GA Practitioner - Nurse Practitioner 8123305018 Reassigns benefits to 2 organizations

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
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

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

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Sep 26, 2022 Accepting new patients
Aylo Health, LLC CurrentSince Sep 26, 2022 Accepting new patients
Atlanta Allergy & Asthma Clinic PA CurrentSince May 8, 2017 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

  • Direct secure messaging: anna.richardson@elfp.eclinicaldirectplus.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.