One World Medical, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

054273 Issued in GA

Legal business name

ONE WORLD MEDICAL, LLC

Practice address

1129 Hospital Dr
Suite 3C
Stockbridge, GA 30281-6393

Phone

(770) 507-0860

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Derek Richardson, M.D.

Title

Owner

Phone

(770) 507-0560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1982918801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 HOSPITAL DR",
            "address_2": "SUITE 3C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816393",
            "telephone_number": "770-507-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 HOSPITAL DR",
            "address_2": "SUITE 3C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816393",
            "telephone_number": "770-507-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE WORLD MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-507-0560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "054273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Oliver, RBT
• Oluwakemi Abisoye Olorunfemi, PHARMACIST
• Andrew Oluata, C-AA
• Kira Elizabeth Olugebefola, MD
• Chiazom C Omeruah, D.O.
• Okezie Chimuanya Onuoha, PT, DPT
• Obioma N. Onwuka
• Onyx Imaging, LLC
• Open MRI and CT Specialists of Stockbridge
• Open MRI of Georgia, Inc

• All providers in Stockbridge, GA
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.