| Dr Albert I Richardson Ii, MD | |
|
1019 E Jackson St, Thomasville, GA 31792-4789 | |
| (229) 236-6742 | |
| (229) 236-6746 |
| Full Name | Dr Albert I Richardson Ii |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 1019 E Jackson St, Thomasville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558469981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 055328 (Georgia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 55328 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Grady General Hospital | Cairo, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Vascular Specialists, Llc | 1951681055 | 2 |
| John D Archbold Memorial Hospital Inc | 4981502622 | 50 |
| Hospital Authority Of Mitchell County | 6002724598 | 19 |
| Grady General Hospital | 7618866518 | 23 |
| Entity Name | Hospital Authority Of Mitchell County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700830247 PECOS PAC ID: 6002724598 Enrollment ID: O20031117000138 |
| Entity Name | John D. Archbold Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Entity Name | Grady General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013961507 PECOS PAC ID: 7618866518 Enrollment ID: O20040310001254 |
| Entity Name | Southern Vascular Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194277210 PECOS PAC ID: 1951681055 Enrollment ID: O20161207001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Albert I Richardson Ii, MD 1019 E Jackson St, Thomasville, GA 31792-4789 Ph: (229) 236-6742 | Dr Albert I Richardson Ii, MD 1019 E Jackson St, Thomasville, GA 31792-4789 Ph: (229) 236-6742 |
Cianna Pender, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-8881 Fax: 229-584-5964 | |
Morgan Lane, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Fl 3, Thomasville, GA 31792 Phone: 229-226-8881 | |
Dr. James Llewellyn Story Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 262 Saddlebrook Plantation, Thomasville, GA 31757 Phone: 229-226-0022 |