KENDRA SHERRICE RICHARDSON
NPI 1952074445
Nurse Practitioner - Primary Care in Stockbridge, GA
About Kendra Sherrice Richardson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA SHERRICE RICHARDSON (NPI 1952074445) is an individual primary care provider in Stockbridge, Georgia, licensed in Georgia (RN264187) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.
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 (PECOS)
Kendra Sherrice Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kendra Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Warner Robins, GA 31088
- Reassigned Medicare billing, Georgia enrollment
- 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
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 Kendra Richardson's NPI number?
The NPI number for Kendra Richardson is 1952074445. It was assigned to this individual provider in the NPPES registry on July 29, 2021.
Where is Kendra Richardson located?
Kendra Richardson practices at 1101 Hospital Dr Ste 200, Stockbridge, GA 30281. The listed phone number is (678) 289-5488.
What is Kendra Richardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kendra Richardson enrolled in Medicare?
Yes. Kendra Richardson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kendra Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Richardson reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Physician Disability Examination Services Inc (Warner Robins, GA). 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 Kendra 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 Kendra Richardson was last updated on April 4, 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.
# Kendra Sherrice Richardson · NPI 1952074445
Primary Care physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since July 29, 2021.
## Identity
- **NPI:** 1952074445 (Entity type: Individual)
- **Enumerated:** July 29, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN264187 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 HOSPITAL DR STE 200, Stockbridge, GA 30281-9076
- **Phone:** (678) 289-5488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Physician Disability Examination Services Inc (NPI 1487064051, Warner Robins, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952074445) · Data from the CMS NPPES public registry.