DR. DEREK KEITH RICHARDSON M.D.
NPI 1245247006
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tucker, GA
About Dr. Derek Keith Richardson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK KEITH RICHARDSON M.D. (NPI 1245247006) is an individual child & adolescent psychiatry provider in Tucker, Georgia, licensed in Georgia (054273) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Derek Keith Richardson M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
TUCKER, GA 30084
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derek Richardson's NPI number?
The NPI number for Derek Richardson is 1245247006. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Derek Richardson located?
Derek Richardson practices at 200 Crescent Center Pkwy Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084. The listed phone number is (770) 496-3609.
What is Derek Richardson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Derek Richardson enrolled in Medicare?
Yes. Derek Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Derek Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Richardson reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Derek Richardson was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Derek Keith Richardson, M.D. · NPI 1245247006
Child & Adolescent Psychiatry physician in Tucker, Georgia. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1245247006 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 054273 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 CRESCENT CENTER PKWY, KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER, Tucker, GA 30084-7047
- **Phone:** (770) 496-3609
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** January 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1245247006) · Data from the CMS NPPES public registry.