Individual provider Active NPI

Heather Rene Richardson, D.O.

  • Pediatrics Physician
  • Moncks Corner, SC
National Provider Identifier
1750591004
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
83408 Issued in SC
Practice address
5000 Epson Plantation Dr Ste B
Moncks Corner, SC 29461-3979
Phone
(843) 876-2951
Fax
(843) 663-8166
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 83408 SC Primary

Addresses

Primary practice location

5000 Epson Plantation Dr Ste B
Moncks Corner, SC 29461-3979

Mailing address

5000 Epson Plantation Dr Ste B
Moncks Corner, SC 29461-3979
Phone (843) 876-2951

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316002203 SC Practitioner - Pediatric Medicine 3173660115 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Pediatrics CurrentSince Dec 12, 2022 Accepting new patients
Little River Medical Center, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Little River Medical Center Inc CurrentSince Dec 12, 2022 Accepting new patients
Little River Medical Center, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Little River Medical Center, Inc CurrentSince Dec 12, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Interoperability endpoints

  • Direct secure messaging: hrichardson62911@ecommunitydirect.com

Organizations & group practices 8

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1750591004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 EPSON PLANTATION DR STE B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613979",
            "telephone_number": "843-876-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 EPSON PLANTATION DR STE B",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613979",
            "telephone_number": "843-876-2951",
            "fax_number": "843-663-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "83408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5000 Epson Plantation Dr Ste B",
            "city": "Moncks Corner",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294613979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.