TRACEY RICHARDSON M.D. NPI 1902099716

NPI Information

NPI: 1902099716
Provider Name: TRACEY RICHARDSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 261 BELVOIR HWY
GREENVILLE, NC
ZIP 27834
Phone: (252) 695-6352

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NPI Details

Tracey Richardson, M.D. is a family medicine in Greenville, NC. The provider is 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 family medicine is not limited by age, sex, organ system, or disease entity. Tracey Richardson, M.D. NPI is 1902099716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

261 BELVOIR HWY
GREENVILLE, NC
ZIP 27834-193
Phone: (252) 695-6352
Fax: (252) 695-6359

The NPI 1902099716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	ME100735	FLORIDA	No
2	207Q00000X	Family Medicine	MD15845	HAWAII	No
3	390200000X	Student in an Organized Health Care Education/Training Program	TRN9975	FLORIDA	No
4	207Q00000X	Family Medicine	2013-00205	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5922865	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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