Active NPI
Ellen Harris Richardson, MD
- Family Medicine Physician
- Savannah, GA
National Provider Identifier
1730238254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40528
- Practice address
- 102 Bryan Woods Road
Ellen Richardson MD
Savannah, GA 31410-1225 - Phone
- (912) 898-1122
- Fax
- (912) 898-9944
- NPI assigned
- Jan 10, 2007
- Last updated
- Apr 9, 2008
- 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 Medicine Physician | 207Q00000X | 40528 | GA | Primary |
Addresses
Primary practice location
102 Bryan Woods Road
Ellen Richardson MD
Savannah, GA 31410-1225
Mailing address
102 Bryan Woods Road
Ellen Richardson MD
Savannah, GA 31410-1225
Phone (912) 898-1122
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40528 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Center for Palliative Care | Past | Accepting new patients | |
| Capital Palliative Care Consultants, LLC | Past | Accepting new patients | |
| In Home Health, LLC | Family Medicine | Past | Accepting new patients |
| SJC Medical Group Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1730238254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BRYAN WOODS ROAD",
"address_2": "ELLEN RICHARDSON MD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101225",
"telephone_number": "912-898-1122",
"fax_number": "912-898-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BRYAN WOODS ROAD",
"address_2": "ELLEN RICHARDSON MD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101225",
"telephone_number": "912-898-1122",
"fax_number": "912-898-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ELLEN",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "40528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.