Clara M Picayo M D P a

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

058381 Issued in GA

Legal business name

CLARA M PICAYO M D P A

Practice address

5570 Bells Ferry Rd
Acworth, GA 30102-2526

Phone

(770) 926-2757

Fax

(770) 926-2758

NPI assigned

Aug 30, 2007

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clara M Picayo, MD

Title

President

Phone

(786) 273-8687

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1134313315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 BELLS FERRY RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022526",
            "telephone_number": "770-926-2757",
            "fax_number": "770-926-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 BELLS FERRY RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022526",
            "telephone_number": "770-926-2757",
            "fax_number": "770-926-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA M PICAYO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "PICAYO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-273-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "058381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mwaba Chisela, APRN
• Christina Armstrong LCSW LLC
• Katsiaryna Chuprasava, M.D.
• Citadel-Ig
• Civicore LLC
• Clara M Picayo MD PC
• Clara M Picayo MD Professional Corporation
• Olivia Clark
• Stacy L Cline, FNP-C
• Clinica Santa Maria 2, LLC

• Pediatrics Physician in Acworth, GA
• Providers in Acworth, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.