Paul McKinley Richardson Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23051 Issued in SC

Practice address

2367B Cypress Cir
Conway, SC 29526-8921

Phone

(843) 349-1001

Fax

(843) 349-1008

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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.

• Conway Hospital, Inc.

  • General Acute Care Hospital
  • Conway, SC
  • NPI 1134172000

  SC

  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  SC

  Medicare reassignment NPD
• Conway Hospital, Inc.

  • Vascular Surgery Physician
  • Conway, SC
  • NPI 1134910763
  NPD
• Conway Hospital, Inc.

  • Pediatrics Physician
  • Conway, SC
  • NPI 1558835355
  NPD

Merit-based Incentive Payment System (MIPS)

Final score

52.78 of 100Reported as group

Quality

55.48

Improvement activities

0

Cost

74.21

Medicare fee-for-service enrollment

Enrolled in SC

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paulrichardson@cimc.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2023.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1972596005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE ROAD",
            "address_2": "ATT PATIENT BILLING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367B CYPRESS CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268921",
            "telephone_number": "843-349-1001",
            "fax_number": "843-349-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "PAUL",
        "middle_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230510",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Lamont Richardson
• Felecia Renee' Richardson, RN-BSN
• Jeana Nicole Richardson
• Kristin Bland Richardson, PA-C
• Marc Jerome Richardson
• Justin Ricks, DPT
• Amy Beth Riley, CNM
• Gilbertas Rimkus, MD
• Constance Marie Rinaldi, PTA
• Wendy C Ritter, CRNA

• All providers in Conway, SC
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.