Individual ProviderW Scott RichardsonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179(706) 389-3875(706) 389-3950PECOS EnrollmentBased on the most recent information from CMS, provider W Scott Richardson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1326088402Provider TypeIndividualFull NameRichardson, W ScottCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/7/2006Last Updated5/2/2017Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave, Suite 200d, Athens, GA 30606-2179Phone(706) 389-3875Fax(706) 389-3876Mailing LocationMailing AddressPO Box 48089, Athens, GA 30604-8089Phone(706) 389-3950Fax(706) 389-3951Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense066804GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35.080564OhioProvider IdentifiersIDDescriptionIssuerID2322687DescriptionMedicaidIssuerUnlistedOhio