Spencer Daniel Richardson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

24758 Issued in MS

Practice address

57 Ratliff St
Lucedale, MS 39452-5731

Phone

(601) 766-0308

NPI assigned

Jun 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

General Surgery

Education

University of Mississippi School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Surgical Center Dr. David CrumpGroup PAC ID 3779534318, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• George Regional Health System Hospital, Lucedale, MS, CCN 250036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Community Surgical Center Dr. David Crump

  • Surgery Physician
  • Lucedale, MS
  • NPI 1730269846
  Medicare reassignment Care Compare group NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Bay Saint Louis, MS
  • NPI 1538674239
  Medicare reassignment NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1316662059
  NPD
• Ochsner Mississippi, LLC

  • Internal Medicine Physician
  • Diamondhead, MS
  • NPI 1720596539
  NPD
• Community Surgical Center

  • Surgery Physician
  • Lucedale, MS
  • NPI 1427138452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028
  Care Compare affiliation

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1942564315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DRINKWATER BLVD",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RATLIFF ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525731",
            "telephone_number": "601-766-0308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_2": "Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Drinkwater Blvd",
            "address_purpose": "LOCATION",
            "city": "Bay st louis",
            "state": "MS",
            "postal_code": "39520",
            "country_code": "US",
            "telephone_number": "228-467-5983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SPENCER",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "24758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Pinkerton, CNP
• Jay S Pinkerton, MD
• Chelce Nicole Pitts, FNP-C
• Amy Polite, OT
• Jennifer Marie Redmond, NP
• Samantha Renee Riser, PHARMD.
• Rocky L McGarity Inc
• Rocky L. McGarity, Inc
• Rocky L. McGarity, Inc.
• Rocky L. McGarity, Inc.

• Surgery Physician in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.