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

Keifer Dewayne Richardson, PA-C

Individual provider Medical Physician Assistant · NPI 1174031660

Keifer Dewayne Richardson, PA-C is a Physician Assistant in Augusta, Georgia. Qualified in 2017, 9 years ago. Practices with Neighborhood Improvement Project, Inc, a 67-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
9
Licensed in
GA, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2050 Walton Way
Augusta, GA 30904-2305
Phone: (706) 434-1590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1120 15th St, Augusta, GA 30912-3828 — (706) 721-8623
  • 526 Richland Ave W, Aiken, SC 29801-3828 — (803) 648-3130

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9335 (GA)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence PA2880 (SC)

Record details

NPI number1174031660
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Neighborhood Improvement Project, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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