Active NPI
George Charles Richison, MD
- Personal Emergency Response Attendant
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- C7143
- Practice address
- 2909 Military Rd
Benton, AR 72015-2721 - Phone
- (501) 315-6500
- Fax
- (501) 315-0006
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | C7143 | AR | Primary |
| Emergency Medicine Physician | 207P00000X | C-7143 | AR |
Addresses
Primary practice location
2909 Military Rd
Benton, AR 72015-2721
Mailing address
2909 Military Rd
Benton, AR 72015-2721
Phone (501) 315-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112535001 | Medicaid | AR | |
| 50733 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Poplar St
Clarksville, AR 72830-4419
Phone (479) 754-5454
Hospital & facility affiliations
- Johnson Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.6 of 100
- Quality
- 82.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7143 | AR | MD | Personal Emergency Response Attendant |
| C-7143 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Arkansas Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Newgen of Arkansas LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300
1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393
1100 E Poplar St
Ste C
Clarksville, AR 72830
Phone (479) 754-5454
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.
-
- Emergency Medicine Physician
- Blytheville, AR
- NPI 1932442985
-
- Emergency Medicine Physician
- Clarksville, AR
- NPI 1982578506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clarksville, AR
- NPI 1134116049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1912933854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 MILITARY RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720152721",
"telephone_number": "501-315-6500",
"fax_number": "501-315-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 MILITARY RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720152721",
"telephone_number": "501-315-6500",
"fax_number": "501-315-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHISON",
"first_name": "GEORGE",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "AR",
"license": "C7143",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "C-7143",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112535001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50733",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.