Individual provider Active NPI

Michael D. Richards, PA-C

  • Surgical Physician Assistant
  • Columbia, SC
National Provider Identifier
1811969975
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
543 Issued in SC
Practice address
1120 Roberts Branch Pkwy Ste 200
Columbia, SC 29203-9144
Phone
(803) 296-9206
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X A543 SC
Surgical Physician Assistant 363AS0400X 543 SC Primary
Physician Assistant 363A00000X 543 SC

Addresses

Primary practice location

1120 Roberts Branch Pkwy Ste 200
Columbia, SC 29203-9144

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

101 Business Park Blvd
Columbia, SC 29203-8401
Phone (803) 296-7846

Other practice location 2

3 Richland Medical Park,
Suite 310
Columbia, SC 29203-8903
Phone (803) 434-8323

Other identifiers 3

IdentifierTypeStateIssuer
0093PAMedicaidSC
S826798946OtherSCMEDICARE PTAN
QM0677MedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000846 SC Practitioner - Physician Assistant 3072646488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

101 Business Park Blvd
Columbia, SC 29203-8401
Phone (803) 434-8866

1120 Roberts Branch Pkwy
Columbia, SC 29203-9144

14 Richland Medical Park Dr
Suite 200
Columbia, SC 29203-6882
Phone (803) 296-7846

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A543SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Past Accepting new patients
University Specialty Clinics Neurosurgery Past Accepting new patients

Locations

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

101 Business Park Blvd
#2
Columbia, SC 29203

1120 Roberts Branch Pkwy
Ste 200
Columbia, SC 29203
Phone (803) 296-9206

1120 Roberts Branch Pkwy
#200
Columbia, SC 29203

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

101 Business Park Blvd
Columbia, SC 29203
Phone (803) 296-9206

3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: mrichards383872@direct.ghs.myhfn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1811969975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROBERTS BRANCH PKWY STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039144",
            "telephone_number": "803-296-9206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Business Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038401",
            "country_code": "US",
            "telephone_number": "803-296-7846",
            "fax_number": "803-296-9699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Richland Medical Park,",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038903",
            "country_code": "US",
            "telephone_number": "803-434-8323",
            "fax_number": "803-434-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "A543",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "543",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S826798946",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0677",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.