DR. SAMUEL MILTON RICHARDSON III M.D.
NPI 1740214196
Emergency Medicine in Jackson, MS
About Dr. Samuel Milton Richardson Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL MILTON RICHARDSON III M.D. (NPI 1740214196) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (08991) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samuel Milton Richardson Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Samuel Richardson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Covington, LA 70433
- Reassigned Medicare billing, Alabama enrollment
- 152 clinicians in this Medicare group
Savannah, TN 38372
- Reassigned Medicare billing, Tennessee enrollment
- 37 clinicians in this Medicare group
Cullman, AL 35055
- Reassigned Medicare billing, Alabama enrollment
- 124 clinicians in this Medicare group
Antioch, TN 37013
- Reassigned Medicare billing, Tennessee enrollment
- 64 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
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 Samuel Richardson's NPI number?
The NPI number for Samuel Richardson is 1740214196. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Samuel Richardson located?
Samuel Richardson practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.
What is Samuel Richardson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Richardson enrolled in Medicare?
Yes. Samuel Richardson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Richardson reassigns Medicare benefits to 4 organizations: Correct Care, Inc. (Covington, LA), Hardin Emergency Group LLC (Savannah, TN), Quality Of Life Health Services, Inc (Cullman, AL) and Urgent Care Enterprise LLC (Antioch, TN). 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 Samuel 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 Samuel Richardson was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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. Samuel Milton Richardson III, M.D. · NPI 1740214196
Emergency Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1740214196 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 08991 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 E WOODROW WILSON AVE, Jackson, MS 39216-5116
- **Phone:** (601) 362-4471
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Correct Care, Inc. (NPI 1215987441, Covington, LA); Hardin Emergency Group LLC (NPI 1972850477, Savannah, TN); Quality Of Life Health Services, Inc (NPI 1467402768, Cullman, AL); Urgent Care Enterprise LLC (NPI 1477087658, Antioch, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2011
- **Other identifiers:** Medicare UPIN B65116
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Source: [NPI Profile](https://npiprofile.com/npi/1740214196) · Data from the CMS NPPES public registry.