Adam Richardson, DO, FAAD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

DO.2171 Issued in AL

Practice address

4410 Watermelon Rd
Northport, AL 35473-5204

Phone

(205) 345-1520

Fax

(205) 332-3714

NPI assigned

Mar 21, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Dermatology Associates, PCGroup PAC ID 4385633908, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.04 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

76.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Alabama Dermatology Associates, PC

  • Specialist
  • Northport, AL
  • NPI 1033128897

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1821482464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735204",
            "telephone_number": "205-345-1520",
            "fax_number": "205-332-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735204",
            "telephone_number": "205-345-1520",
            "fax_number": "205-332-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DO, FAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-21",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "DO.2171",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101024510",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "DO.2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Reich, LCSW BCD
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• Caela Osborn Rhea, MA, LPC, NCC
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• Melinda L Roberts
• Trisha Robertson
• Robin L Taylor, Licsw LLC
• David Vance Robinson, DPM

• MOHS-Micrographic Surgery Physician in Northport, AL
• Providers in Northport, AL by specialty
• MOHS-Micrographic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.