Organization Active NPI

Ghari Richardson MD Foa PC

  • Pain Medicine (Anesthesiology) Physician
  • Valdosta, GA
National Provider Identifier
1902358104
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GHARI RICHARDSON MD FOA PC
Practice address
3811 Old US Highway 41 N
Valdosta, GA 31602-6807
Phone
(229) 244-3530
Fax
(229) 244-1531
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Ghari Richardson, MDNPI 1306859020
Title
Owner
Phone
(229) 244-3530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

3811 Old US Highway 41 N
Valdosta, GA 31602-6807

Mailing address

3811 Old US Highway 41 N
Valdosta, GA 31602-6807
Phone (229) 244-3530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170125000415 GA Part B Supplier - Clinic/Group Practice 7113209263 Receives reassigned benefits from 1 practitioner
Practice locations: Valdosta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1902358104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OLD US HIGHWAY 41 N",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026807",
            "telephone_number": "229-244-3530",
            "fax_number": "229-244-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OLD US HIGHWAY 41 N",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026807",
            "telephone_number": "229-244-3530",
            "fax_number": "229-244-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHARI RICHARDSON MD FOA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "GHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-244-3530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.