1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Family Medicine
  6. NPI Profile

KATHLEEN RICHARDSON MD
NPI 1275979361
Family Medicine in Tifton, GA

Active since May 15, 2013PECOS Enrolled
39 KENT RD STE 2, TIFTON, GA 31794(229) 388-9393(229) 388-9855 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2020, Nov 25, 2019, Jul 13, 2017 and 2 more (5 updates tracked since 2015).

About Kathleen Richardson Md NPPES

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

KATHLEEN RICHARDSON MD (NPI 1275979361) is an individual family medicine provider in Tifton, Georgia, licensed in Georgia (84465) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1275979361
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN RICHARDSONCredential: MD
Location Address39 KENT RD STE 2Tifton, GA 31794-1697
Mailing Address4111 1st Ave, Ste 3Nitro, WV 25143-1345 · (304) 285-7200
Phone(229) 388-9393
Fax(229) 388-9855
Sole ProprietorNo
Enumeration DateMay 15, 2013
Last NPPES UpdateDecember 1, 20205 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1275979361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 84465
Definition
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 26527 (WV)
39 KENT RD STE 2, Tifton, GA 31794
Open in Google Maps ↗

Secondary Practice Location 1

Location 1390 Birch StreetMorgantown, WV 26506 · Phone (304) 285-7200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Richardson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 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 4

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

TIFT REGIONAL HEALTH SYSTEM INC
Otolaryngology
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
DONTRE M DOUSE MD
Otolaryngology
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
LACEY HESTER CHILDREE NP
Nurse Practitioner (Family)
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 353-4368
MRS. DEIDRE CELESTE PEACOCK NP
Nurse Practitioner
39 KENT RD STE 2
TIFTON, GA 31794
Tift County (229) 388-9393

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 Kathleen Richardson's NPI number?

The NPI number for Kathleen Richardson is 1275979361. It was assigned to this individual provider in the NPPES registry on May 15, 2013.

Where is Kathleen Richardson located?

Kathleen Richardson practices at 39 Kent Rd Ste 2, Tifton, GA 31794. The listed phone number is (229) 388-9393.

What is Kathleen Richardson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Richardson enrolled in Medicare?

Yes. Kathleen Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Richardson was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.