RICHARDSON DESMANGLES FNP-C
NPI 1467100487
Nurse Practitioner - Family in Atlanta, GA
About Richardson Desmangles Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARDSON DESMANGLES FNP-C (NPI 1467100487) is an individual family provider in Atlanta, Georgia, licensed in Georgia (307243) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
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
Richardson Desmangles Fnp-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.
Medicare Billing Reassignments
6Medicare enrollment records show Richardson Desmangles reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30331
- Reassigned Medicare billing, Georgia enrollment
- 12 clinicians in this Medicare group
Powder Springs, GA 30127
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Douglasville, GA 30134
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Douglasville, GA 30135
- Reassigned Medicare billing, Georgia enrollment
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Johns Heart LLC
- 2 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Richardson Desmangles's NPI number?
The NPI number for Richardson Desmangles is 1467100487. It was assigned to this individual provider in the NPPES registry on March 17, 2022.
Where is Richardson Desmangles located?
Richardson Desmangles practices at 3915 Cascade Rd SW Ste T-90, Atlanta, GA 30331. The listed phone number is (404) 564-7749.
What is Richardson Desmangles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Richardson Desmangles enrolled in Medicare?
Yes. Richardson Desmangles 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 organizations bill Medicare for Richardson Desmangles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richardson Desmangles reassigns Medicare benefits to 6 organizations: Health Education, Assessment And Leadership, Inc (Atlanta, GA), Kays Urgent Care Clinic LLC (Powder Springs, GA), Advanced Pro Wound Care LLC (Douglasville, GA), Englerston Health Corporation (Douglasville, GA), Peachtree Immediate Care Fp, LLC (Hiram, GA) and 1 more organization, listed in the Medicare section above. Each 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 Richardson Desmangles'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 Richardson Desmangles was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Richardson Desmangles, FNP-C · NPI 1467100487
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 17, 2022.
## Identity
- **NPI:** 1467100487 (Entity type: Individual)
- **Enumerated:** March 17, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 307243 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3915 CASCADE RD SW STE T-90, Atlanta, GA 30331-8660
- **Phone:** (404) 564-7749
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Health Education, Assessment And Leadership, Inc (NPI 1831476399, Atlanta, GA); Kays Urgent Care Clinic LLC (NPI 1154053510, Powder Springs, GA); Advanced Pro Wound Care LLC (NPI 1437942786, Douglasville, GA); Englerston Health Corporation (NPI 1134931827, Douglasville, GA); Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467100487) · Data from the CMS NPPES public registry.