Eddie Richardson Jr. (NPI# 1235107772, PAC ID# 1052213311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235107772 |
| PAC ID by PECOS | 1052213311 |
| Professional Enrollment ID | I20040126000779 |
| Full Name | Eddie Richardson Jr. |
| Address |
7129 Floyd St Ne Covington GA 30014-1578 |
| Gender | M |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111313 | PUTNAM GENERAL HOSPITAL |
| 111329 | ST. MARY'S GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7129 Floyd St Ne, Covington, GA 30014-1578 | ||
| 101 Lake Oconee Pakway, Eatonton, GA 31024-6054 | 7069232002 | PUTNAM GENERAL HOSPITAL |
| 101 Lake Oconee Pakway, Eatonton, GA 31024-8502 | 7069231825 | PUTNAM GENERAL HOSPITAL |
| 114 Harmony Xing, Suite 1, Eatonton, GA 31024-9546 | 7064840884109 | LAKE OCONEE PARTNERS IN HEALTHCARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 60% | |
| MIPS_EC_047_overall | Care Plan | 60% |
| Street Address |
7129 FLOYD ST NE |
| City | COVINGTON |
| State | GA |
| Zip | 30014-1578 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen F Vidrine | Certified Clinical Nurse Specialist (cns) | 10385 Hwy 278 E, Covington, GA 30014 | |
| Ashley E Heath | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Joseph T Overton Jr. | Dermatology | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Shiara C Vassian | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Lucinda C. Faulkner | Nurse Practitioner | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Anil J Desai | Internal Medicine | 4139 Baker St, Suite 900, Covington, GA 30014-1409 | |
| Gia E Johnson | Psychiatry | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Margaret Martin | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Dionne L Jenkins | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Monica Osayi | Nurse Practitioner | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Find all physicians in zip 30014 | |||
| City | COVINGTON |
| Zip Code | 30014 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COVINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Eddie Richardson Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.