KATHLEEN RICHARDSON (NPI# 1275979361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275979361 |
| Entity Type | Individual |
| Full Name | KATHLEEN RICHARDSON |
| Credential | MD |
| Practice Address |
39 Kent Rd Ste 2 Tifton GA 31794-1697 |
| Mailing Address |
4111 1st Ave Ste 3 Nitro WV 25143-1345 |
| Practice Telephone | 2293889393 |
| Practice Fax Number | 2293889855 |
| Mailing Telephone | 3042857200 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 26527 | WV | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 84465 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 390 Birch Street, Morgantown, WV 26506 | 3042857200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666994 | Kathleen B Richardson | Nurse Practitioner | 560 Gum Springs Rd, Winnfield, LA 71483 | 2005-08-15 |
| 1619297017 | Kathleen Logan Richardson | Social Worker | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2010-06-08 |
| 1497911465 | Kathleen Bryant Richardson | Nurse Practitioner | 12706 Mcmanus Blvd, Newport News, VA 23602-4460 | 2008-07-30 |
| 1679649362 | Kathleen Richardson | Nurse Practitioner | 108 N Louisiana St, Plain Dealing, LA 71064-3446 | 2006-11-27 |
| 1659478899 | Kathleen Richardson | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2006-09-20 |
| 1104921204 | Kathleen Richardson | Social Worker | 63 Fountain St Ste 402, Framingham, MA 01702-6280 | 2006-09-13 |
| 1700809043 | Kathleen Jeannette Richardson | Nurse Practitioner | Madigan Army Medical Ctr, 9040 Reid St. Attn: Mchj-qcr, Tacoma, WA 98431-1100 | 2006-07-26 |
| Street Address |
39 KENT RD STE 2 |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417913369 | Lora Denise Efaw | Family Medicine | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2006-04-20 |
| 1952875122 | Tessamy Lynne Goodwin | Nurse Practitioner | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2019-01-21 |
| 1982094298 | Deidre Celeste Dorman | Nurse Practitioner | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689859720 | Family Health Center of Tiftarea | Family Medicine | 2016 Pineview Ave, Tifton, GA 31794-3035 | 2008-01-08 |
| 1790857381 | Langston B Cleveland | Family Medicine | 4468 Union Rd, Tifton, GA 31794-8331 | 2006-11-15 |
| 1518036623 | Robert J Hawes | Family Medicine | 2225 U S Hwy 41 N, Tifton, GA 31794 | 2006-11-06 |
| 1568552602 | Quickcare LLC | Family Medicine | 1430 Hwy 82 W, Suite 105, Tifton, GA 31794-8036 | 2006-10-12 |
| 1134225501 | Tifton Family Medicine, PC | Family Medicine | 902 18th St East, Tifton, GA 31794 | 2006-09-15 |
| 1417913369 | Lora Denise Efaw | Family Medicine | 39 Kent Rd Ste 2, Tifton, GA 31794-1697 | 2006-04-20 |
| 1578558805 | Norris Kent Burton | Family Medicine | 907 18th St E, Suite 140, Tifton, GA 31794-3643 | 2005-09-13 |
| 1023018561 | Carl David Johnson IIi | Family Medicine | 612 Love Ave, Tifton, GA 31794 | 2005-07-27 |
| 1639175680 | Richard Joseph Pierzchajlo | Family Medicine | 1489 Kennedy Rd, Tifton, GA 31794-4159 | 2005-06-23 |
| 1881203305 | Tift Regional Health System Inc | Family Medicine | 901 18th St E, Tifton, GA 31794-3648 | 2020-07-30 |
| Find all providers in TIFTON | ||||
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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.