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

Nicholena Richardson, MD

Individual provider Emergency Medicine Physician · NPI 1760913073

Nicholena Richardson, MD is an Emergency Medicine in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Observation Medical Group LLC, a 55-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
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

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2171
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2020-02239 (NC)

Record details

NPI number1760913073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESApril 6, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Observation Medical Group Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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