Individual provider Active NPI

Daisy Jane Richards

  • Family Nurse Practitioner
  • Grovetown, GA
National Provider Identifier
1831854629
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN191337 Issued in GA
Practice address
413 Bowen FLS
Grovetown, GA 30813-5917
Phone
(706) 231-5191
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN191337 GA Primary

Addresses

Primary practice location

413 Bowen FLS
Grovetown, GA 30813-5917

Mailing address

413 Bowen FLS
Grovetown, GA 30813-5917
Phone (706) 231-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220630002176 GA Practitioner - Nurse Practitioner 5294914727 Reassigns benefits to 1 organization
I20230814003621 SC Practitioner - Nurse Practitioner 5294914727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN191337GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of South Carolina, P.C. CurrentSince Jul 4, 2023 Accepting new patients
Christopher Dennis MD PLLC CurrentSince May 24, 2022 Accepting new patients

Locations

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

Organizations & group practices 2

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1831854629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BOWEN FLS",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135917",
            "telephone_number": "706-231-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BOWEN FLS",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135917",
            "telephone_number": "706-231-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DAISY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.