Richard Lawrence Antonio, M.D.

Key facts

NPI

1982998977

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

74176 (GA)

Practice address

625 S Marietta Pkwy SE
Marietta, GA 30060-2748

Phone

(470) 377-7228

Fax

(470) 467-7583

NPI assigned

Jun 7, 2011

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Oak Street Health of Georgia PC Primary Care Clinic/Center · Stone Mountain, GA · NPI 1588258024
  Medicare reassignment NPD FAMILY MEDICINE · GA
• Southeast Medical Group, P.C. Family Medicine Physician · Alpharetta, GA · NPI 1235296054
  Medicare reassignment NPD FAMILY MEDICINE · GA
• Qcpi-Villagemd, PC Family Medicine Physician · Atlanta, GA · NPI 1558872432
  Medicare reassignment GA
• Physician First Health Network Public Health or Welfare Agency · Alpharetta, GA · NPI 1598558181
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.antonio.1@32512.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 31, 2026.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1982998977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740015",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740015",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S MARIETTA PKWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602748",
            "telephone_number": "470-377-7228",
            "fax_number": "470-467-7583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 Dallas Hwy SW Ste 800",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300645924",
            "country_code": "US",
            "telephone_number": "770-800-6842",
            "fax_number": "678-384-6711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "74176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katherine L Antoniades, PHARMD
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• Elise Antrobus, LCSW
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All providers in Marietta, GA · Family Medicine Physician in Georgia