TOMMIE MACK RICHARDSON (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1013006584

TOMMIE MACK RICHARDSON (MD) is a healthcare provider. based in Smyrna, Georgia. specializing in ADDICTION MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 031313 (GA). The NPI Number for TOMMIE MACK RICHARDSON (MD) is 1013006584

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
TOMMIE MACK RICHARDSON (MD)
NPI
1013006584
Phone
(770) 431-2354
Address
4015 S COBB DR
Enumeration Date
12 October 2006
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704312354
Graduation Year
1972 (54 years ago)
PAC ID
2466510730
Group Practice PAC ID
5092611384
Professional Enrollment ID
I20081015000685
Address ID
GA300825237SM400XXSEXX420
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

51 ADDICTION MEDICINE in GA

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Provider Addresses for TOMMIE MACK RICHARDSON (MD)

  • 4015, South Cobb Drive, Smyrna, Cobb County, Georgia, 30080, United States

    #115

    SMYRNA, GA 30080

    Phone: (770) 431-2354

    Fax: (770) 436-7143

    Type: Location

  • 400 TECHNOLOGY CT SE STE J

    SMYRNA, GA 300825237

    Phone: (770) 866-5700

    Fax: (770) 436-7143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $2,187.

Total Amount is formed as General ($2,187) + Research ($0) + Ownership ($0) = $2,187.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($877).

Total Amount

$2,187

General + Research + Ownership

Payments

76

Total payment records

General Amount

$2,187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081015000685IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9734$0
90833Psychotherapy with evaluation and management visit, 30 minutes8429$0
View full utilization report →

Insurance plans in this area (ZIP 30080)

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Provider's Procedures

TOMMIE MACK RICHARDSON (MD) performs procedures in ADDICTION MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA90833Psychotherapy, 30 minutes with patient and/or family member319101

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092611384View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL
-GA
-GA
Clinical PsychologistGA
Nurse PractitionerGA
Clinical PsychologistGA
Marriage And Family TherapistGA
P S Y C H I A T R YGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

Does TOMMIE MACK RICHARDSON (MD) have a public NPI I can cite?
Public records show TOMMIE MACK RICHARDSON (MD) under NPI 1013006584.
Does the public listing show TOMMIE MACK RICHARDSON (MD) as active?
TOMMIE MACK RICHARDSON (MD)'s NPI record reflects an active status in NPPES.
What does the directory say TOMMIE MACK RICHARDSON (MD) does?
Insurance directories may phrase it differently, but here TOMMIE MACK RICHARDSON (MD) maps to Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TOMMIE MACK RICHARDSON (MD)?
The directory associates TOMMIE MACK RICHARDSON (MD) with Smyrna, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains TOMMIE MACK RICHARDSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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