DR. SAMUEL MILTON RICHARDSON III M.D.
NPI 1740214196
Emergency Medicine in Jackson, MS

Q: 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.

Q: What is Samuel Richardson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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 14 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.

Active since July 10, 2006PECOS Enrolled

1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1740214196

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. SAMUEL MILTON RICHARDSON IIICredential: M.D.

Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116

Mailing Address831 West DeerfieldCanton, MS 39046 · (601) 898-9832

Phone(601) 362-4471

Sole ProprietorYes

Enumeration DateJuly 10, 2006

Last NPPES UpdateOctober 22, 2011

✔ NPI 1740214196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MS · 08991

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1500 E WOODROW WILSON AVE, Jackson, MS 39216

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Other Identifiers 1

Medicare UPINB65116

Medicare Participation & PECOS CMS

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

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).

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 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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

MELISSA ALLENE GRAIG RN

Registered Nurse