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 | 22 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 | 62 |
Hospital Authority Of Mitchell County | 6002724598 | 31 |
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. Preston Jeremy Sparks, DO Surgery Medicare: Medicare Enrolled Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195 | |
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 |