Individual provider Active NPI

Randy Scott Risner, D.C.

  • Chiropractor
  • Richmond Hill, GA
National Provider Identifier
1790857035
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006810 Issued in GA
Practice address
9665 Ford Ave Unit B
Richmond Hill, GA 31324-3652
Phone
(912) 445-5607
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006810 GA Primary

Addresses

Primary practice location

9665 Ford Ave Unit B
Richmond Hill, GA 31324-3652

Mailing address

9665 Ford Ave Unit B
Richmond Hill, GA 31324-3652
Phone (912) 445-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000797 GA Practitioner - Chiropractic 9931142692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

60 Exchange St
Suite B3
Richmond Hill, GA 31324-7646
Phone (912) 445-5607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Risner Chiropractic and Wellness, LLC Chiropractor CurrentSince Jun 3, 2005 Accepting new patients

Locations

60 Exchange St
Ste B3
Richmond Hill, GA 31324

9665 Ford Ave
Unit B
Richmond Hill, GA 31324
Phone (912) 445-5607

200 Blue Fin Cir
#4
Savannah, GA 31410

200 Blue Fin Cir
Ste 4
Savannah, GA 31410
Phone (912) 507-5599

7064 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 355-7300

13051 Abercorn St
Ste A7
Savannah, GA 31419
Phone (912) 921-0766

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1790857035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9665 FORD AVE UNIT B",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243652",
            "telephone_number": "912-445-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 FORD AVE UNIT B",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243652",
            "telephone_number": "912-445-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNER",
        "first_name": "RANDY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.