Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Richard Lawrence Antonio, MD

Individual provider Family Medicine Physician · NPI 1982998977

Dr. Richard Lawrence Antonio, MD is a Family Practice in Marietta, Georgia. Qualified in 2009, 17 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

625 S Marietta Pkwy SE
Marietta, GA 30060-2748
Phone: (470) 377-7228
Fax: (470) 467-7583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3625 Dallas Hwy Sw Ste 800, Marietta, GA 30064-5924 — (770) 800-6842

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 74176 (GA)

Record details

NPI number1982998977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing addressPo Box 740015, Atlanta, GA 30374-0015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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