P Praxis·MD
● Active Type 1 · Individual

Kathleen Richardson, MD

Family Medicine·Tifton, GA· NPI 1275979361 · Enumerated 2013 · 13 years on NPI
Richardson is 1 of 31 family medicine providers in Tifton and 1 of 5448 in Georgia.
NPI age
13 years
Enumerated 2013-05-15
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, WV
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
39 Kent Rd Ste 2
Tifton, GA 317941697
📞 2293889393fax 2293889855
Mailing address
4111 1st Ave, Ste 3
Nitro, WV 251431345
📞 3042857200

Additional practice locations

1 secondary location on file with NPPES.

Location 2
390 Birch Street
Morgantown, WV 26506
📞 3042857200

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #84465 taxonomy 207Q00000X
  • Emergency Medicine
    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....
    WV license #26527 taxonomy 207P00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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