Emily Ellis Richardson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

060066 Issued in GA

Practice address

1230 Johnson Ferry PL
Suite a-10
Marietta, GA 30068-2048

Phone

(678) 560-0511

Fax

(678) 560-0739

NPI assigned

Jul 26, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Emily Ann Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679597736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE A-10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "678-560-0511",
            "fax_number": "678-560-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE A-10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "678-560-0511",
            "fax_number": "678-560-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "EMILY",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "511I080124",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ELLIS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madigan Raper Richards, DO
• Michelle R Richards
• Nicholas Juwan Richards
• Sharaine Michele Richards, CRNA
• Aaron T. Richardson, PT
• Kiersten Richardson
• Lindsay Richardson
• Sarah Richardson, OTR/L
• Sherry Nadine Richardson
• William E Richardson, MD

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.