Individual provider Active NPI

Elizabeth O'Hara Richardson, P.A.

  • Medical Physician Assistant
  • Augusta, GA
National Provider Identifier
1740724996
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2669 Issued in SC
Practice address
1348 Walton Way Ste 6500
Augusta, GA 30901-5111
Phone
(706) 722-2118
Fax
(706) 722-0342
NPI assigned
Dec 7, 2016
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2669 SC Primary

Addresses

Primary practice location

1348 Walton Way Ste 6500
Augusta, GA 30901-5111

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

325 Georgia Ave Ste 200
North Augusta, SC 29841-3848
Phone (803) 202-3351

Other practice location 2

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone (706) 828-8049

Other practice location 3

925 Branch Ct Ste 101
Grovetown, GA 30813-3325
Phone (706) 396-1199

Other practice location 4

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone (706) 828-8000

Other practice location 5

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Other practice location 6

447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone (706) 854-2222

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
I20181115002962 GA Practitioner - Physician Assistant 4789954728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5995

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

4321 University Pkwy
Suite 101
Evans, GA 30809-3093
Phone (706) 854-2118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Prompt Care Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
University Medical Group LLC Current Accepting new patients

Locations

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1740724996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 6500",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015111",
            "telephone_number": "706-722-2118",
            "fax_number": "706-722-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Georgia Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1199",
            "fax_number": "706-396-8173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8000",
            "fax_number": "706-828-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ELIZABETH",
        "middle_name": "O'HARA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "PA2669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.