KEIFER DEWAYNE RICHARDSON PA-C
NPI 1174031660
Physician Assistant - Medical in Augusta, GA

Active since January 18, 2018PECOS EnrolledAccepts Medicare Assignment
2050 WALTON WAY, AUGUSTA, GA 30904(706) 434-1590 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2024, Jul 19, 2019, Jan 18, 2018 (3 updates tracked since 2018).

About Keifer Dewayne Richardson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEIFER DEWAYNE RICHARDSON PA-C (NPI 1174031660) is an individual medical provider in Augusta, Georgia, licensed in Georgia (9335) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174031660
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEIFER DEWAYNE RICHARDSONCredential: PA-C
Location Address2050 WALTON WAYAugusta, GA 30904-2305
Mailing Address526 Richland Ave WAiken, SC 29801-3828 · (803) 648-3130 · Fax (803) 648-9860
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 18, 2018
Last NPPES UpdateJanuary 16, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
NPI 1174031660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 9335
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License PA2880 (SC)
2050 WALTON WAY, Augusta, GA 30904

Secondary Practice Locations 2

Location 11120 15th StAugusta, GA 30912-3828 · Phone (706) 721-8623 · Fax (706) 721-1459
Location 2526 Richland Ave WAiken, SC 29801-3828 · Phone (803) 648-3130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keifer Dewayne Richardson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416217641
PECOS Enrollment IDI20190923000635
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,503 services543 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
701 services517 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
567 services374 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
308 services92 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
307 services92 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
193 services135 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers63 claims63 services$192.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2050 WALTON WAY
AUGUSTA, GA 30904
Clinic/Center (Federally Qualified Health Center (FQHC))
2050 WALTON WAY, STE 101
AUGUSTA, GA 30904
Pharmacy (Community/Retail Pharmacy)
2050 WALTON WAY
AUGUSTA, GA 30904
Internal Medicine
2050 WALTON WAY
AUGUSTA, GA 30904
Physician Assistant
2050 WALTON WAY
AUGUSTA, GA 30904
Internal Medicine
2050 WALTON WAY
AUGUSTA, GA 30904
Internal Medicine (Infectious Disease)
2050 WALTON WAY
AUGUSTA, GA 30904
Internal Medicine (Infectious Disease)
2050 WALTON WAY
AUGUSTA, GA 30904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174031660, enumerated as an "individual" on January 18, 2018.

The provider is located at 2050 WALTON WAY AUGUSTA, GA 30904 and the phone number is (706) 434-1590.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Alliant Health Plans, Inc. and BlueCross. Please consult your insurance carrier or call the provider to verify.