EDDIE RICHARDSON (MD) – Family Medicine Physician, NPI 1235107772

EDDIE RICHARDSON (MD) is a healthcare provider. based in Sandersville, Georgia. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 24642 (SC). The NPI Number for EDDIE RICHARDSON (MD) is 1235107772

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
EDDIE RICHARDSON (MD)
NPI
1235107772
Phone
(478) 552-9000
Address
610 Ferncrest Dr Ste B
Enumeration Date
10 March 2006
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
7064840884109
Graduation Year
1999 (27 years ago)
PAC ID
1052213311
Group Practice PAC ID
4688860364
Professional Enrollment ID
I20040126000779
Address ID
GA310249546EA114XXXING301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for EDDIE RICHARDSON (MD)

  • 610 Ferncrest Dr Ste B

    Sandersville, GA 310821863

    Phone: (478) 552-9000

    Type: Location

  • 114 HARMONY XING STE 1

    EATONTON, GA 310249546

    Phone: (706) 484-0884

    Fax: (706) 484-0885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Lilly USA, LLC ($89).

Total Amount

$358

General + Research + Ownership

Payments

17

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-01-26

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
I20040126000779IFamily 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 minutes925176$0
99213Established patient office or other outpatient visit, 20-29 minutes160118$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month15928$0
J1100Injection, dexamethasone sodium phosphate, 1 mg13733$0
36415Insertion of needle into vein for collection of blood sample12783$0
View full utilization report →

Insurance plans in this area (ZIP 31082)

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Provider's Procedures

EDDIE RICHARDSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA81002Urinalysis, manual test11083

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: 4688860364View full group profile
NameSpecialtyState
-GA
Family Practice, Geriatric MedicineLA
-GA

Reviews

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Frequently asked questions

Can I use this page to confirm EDDIE RICHARDSON (MD)'s NPI?
Yes. EDDIE RICHARDSON (MD) is listed with NPI 1235107772 in the public NPI dataset.
Can I rely on EDDIE RICHARDSON (MD) being an active provider?
As of the registry snapshot, EDDIE RICHARDSON (MD) is marked active.
What is EDDIE RICHARDSON (MD)'s specialty?
The listing groups EDDIE RICHARDSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does EDDIE RICHARDSON (MD) serve?
EDDIE RICHARDSON (MD)'s listing highlights Sandersville, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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