TOMMIE M RICHARDSON (NPI# 1013006584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013006584 |
| Entity Type | Individual |
| Full Name | TOMMIE M RICHARDSON |
| Credential | MD |
| Practice Address |
4015 S Cobb Dr #115 Smyrna GA 30080 |
| Practice Telephone | 7704312354 |
| Practice Fax Number | 7704367143 |
| Mailing Telephone | 7704312354 |
| Mailing Fax Number | 7704367143 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
031313 | GA | Behavioral Health & Social Service Providers |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
31313 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000471479F | 05 |
| Street Address |
4015 S COBB DR #115 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518255777 | Michael C. Gordon Md, LLC | Family Medicine | 4015 S Cobb Dr Se, Suite 220, Smyrna, GA 30080-6303 | 2011-07-21 |
| 1508955071 | Daniel P Golightly Jr. | Family Medicine | 3188 Atlanta Rd Se, Smyrna, GA 30080-8256 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598572 | Preferred Treatment Center, LLC | Family Medicine | 108 Corporate Sq Ste A, Dublin, GA 31021-4252 | 2014-08-19 |
| 1073714580 | James R Granger IIi | Family Medicine | 3823 Roswell Rd Ste 201, Marietta, GA 30062-6295 | 2007-05-30 |
| 1588770895 | Melissa Lee Warner | Family Medicine | 310 Black Bear Rdg, Sautee, GA 30571-3500 | 2006-08-21 |
| 1013952852 | William Robert Rout | Family Medicine | 963 Bennock Mill Dr., Augusta, GA 30906 | 2006-06-17 |
| 1184608077 | Michael Cowl Gordon | Family Medicine | 1800 Water Pl Se, Suite 100, Atlanta, GA 30339-2061 | 2005-12-04 |
| 1073512125 | Scott Thomas Miles | Family Medicine | 5155 Ga Highway 40 East, St. Marys, GA 31558 | 2005-07-20 |
| 1891393005 | Jubilee Primary Care PC | Family Medicine | 3312 Heathchase Ln, Suwanee, GA 30024-4639 | 2020-10-12 |
| 1801241559 | Thomas George Savel | Family Medicine | 767 Peachtree Pkwy, Suite 4, Cumming, GA 30041-9348 | 2016-05-02 |
| 1427484963 | Physician Management & Consulting | Family Medicine | 1050 Shiloh Rd Nw, Suite 311, Kennesaw, GA 30144-7194 | 2013-09-16 |
| 1467611129 | Accelerated Recovery Centers | Family Medicine | 1640 Powers Ferry Road, Building 7 Suite 300, Marietta, GA 30067 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.