Kendra Sherrice Richardson
Nurse Practitioner, Primary Care in Stockbridge, GA. Individual provider (NPI-1).
NPI number1952074445
StatusActive
Last updated in NPPESApr 4, 2022
Details
- NPI
- 1952074445
- Entity type
- Individual (NPI-1)
- Name
- Kendra Sherrice Richardson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2021
- Certification date
- Apr 4, 2022
- Last updated
- Apr 4, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | RN264187 | GA | Yes |
Practice location
1101 Hospital Dr Ste 200Stockbridge, GA 30281-9076
Phone 678-289-5488
Mailing address
1101 Hospital Dr Ste 200Stockbridge, GA 30281-9076
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Primary Care Nurse Practitioner providers in Stockbridge · All 2,378 providers in Stockbridge
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