Individual provider Active NPI

Ellen Harris Richardson, MD

  • Family Medicine Physician
  • Savannah, GA
National Provider Identifier
1730238254
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40528 Issued in GA
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
40528GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Center for Palliative Care PastSince Nov 9, 2021 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 PastSince Dec 1, 2014 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.

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.

Verify at the official NPI Registry.