NPIMap

Individual provider Active NPI

Jared Charles Richardson, MD

  • Family Medicine Physician
  • Seneca, SC
National Provider Identifier
1811259302
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34809 Issued in SC
Practice address
15575 Wells Hwy
Seneca, SC 29678-1664
Phone
(864) 886-2000
Fax
(864) 888-3618
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 34809 SC Primary

Addresses

Primary practice location

15575 Wells Hwy
Seneca, SC 29678-1664

Mailing address

15575 Wells Hwy
Seneca, SC 29678-1664
Phone (864) 886-2000

Other practice location 1

139 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 482-3483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723003473 SC Practitioner - Family Practice 5597033241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15575 Wells Hwy
Seneca, SC 29678-1664
Phone (864) 886-2000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Greenville, SC, CCN 427017
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Prisma Health Home Health-Upstate Home health agency, Greenville, SC, CCN 427029
  • Empyrean Hospice of South Carolina Hospice, Aiken, SC, CCN 421648
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Medical Associates PA Family Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

15575 Wells Hwy
Seneca, SC 29678
Phone (864) 886-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19939/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jared.richardson.1@19939.direct.athenahealth.com

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.

Hospital & facility affiliations 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1811259302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15575 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-886-2000",
            "fax_number": "864-888-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15575 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-886-2000",
            "fax_number": "864-888-3618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Lila Doyle Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296729495",
            "country_code": "US",
            "telephone_number": "864-482-3483",
            "fax_number": "864-482-3497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JARED",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "34809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.