CLARA M PICAYO MD PC (NPI# 1306017249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306017249 |
| Entity Type | Organization |
| Organization Name | CLARA M PICAYO MD PC |
| Practice Address |
5570 Bells Ferry Rd Acworth GA 30102-2526 |
| Practice Telephone | 7709262757 |
| Practice Fax Number | 7709262758 |
| Mailing Telephone | 7709262757 |
| Mailing Fax Number | 7709262758 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. CLARA M PICAYO (PRESIDENT) |
| Authorized Official Telephone | 7709262757 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 58381 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 58381 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5570 BELLS FERRY RD |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134313315 | Clara M Picayo M D P A | Pediatrics | 5570 Bells Ferry Rd, Acworth, GA 30102-2526 | 2007-08-30 |
| 1104000660 | Clara M Picayo Md Professional Corporation | General Practice | 5570 Bells Ferry Rd, Acworth, GA 30102-2526 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1619395506 | Christen Weber | General Practice | 4421 Carnes St, Acworth, GA 30101-5305 | 2014-03-28 |
| 1508106600 | Kali L Gordon | General Practice | 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102-5435 | 2013-02-26 |
| 1174626543 | Richard William Kimmerling | General Practice | 5610 Forkwood Dr Nw, Acworth, GA 30101-8023 | 2006-09-07 |
| 1790195261 | Ellis Mossaded | General Practice | 3889 Cobb Pkwy Nw, Acworth, GA 30101 | 2014-05-05 |
| 1275781759 | Clj Healthcare, LLC | General Practice | 6572 Highway 92, Suite 200, Acworth, GA 30102-7562 | 2008-09-09 |
| 1104000660 | Clara M Picayo Md Professional Corporation | General Practice | 5570 Bells Ferry Rd, Acworth, GA 30102-2526 | 2007-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.