Active NPI
Mia Denise Pickard, BC-FNP
- Family Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN197273
- Practice address
- 2782 N Cobb Pkwy
Kennesaw, GA 30152-3472 - Phone
- (866) 389-2727
- NPI assigned
- Nov 7, 2019
- Last updated
- Sep 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5023407 | NC | |
| Family Nurse Practitioner | 363LF0000X | RN197273 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024193841 | VA |
Addresses
Primary practice location
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Mailing address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727
Other practice location 1
1826 Veterans Blvd
Dublin, GA 31021-3620
Phone (478) 272-1210 ext. 2544
Other practice location 2
304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071
Other practice location 3
2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone (866) 389-2727
Other practice location 4
19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5023407 | NC | MD | Family Nurse Practitioner |
| 0024193841 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Current | Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current | Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033
22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800
37 341 Byp
Hawkinsville, GA 31036
Phone (478) 845-4842
1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954
500 Stanley St
Perry, GA 31069
Phone (229) 463-7071
304 N Westberry St
Sylvester, GA 31791
Phone (229) 463-7071
250 Skillman St
Ste 202
Brooklyn, NY 11205
Interoperability endpoints
- mia.pickard.1@22235.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Access Medical Clinic
- Family Medicine Physician
- Perry, GA
- NPI 1730793639
-
- Rural Health Clinic/Center
- Brunswick, GA
- NPI 1568100519
-
- Rural Health Clinic/Center
- Sylvester, GA
- NPI 1639774714
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790467200000",
"number": "1285279737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "1826 Veterans Blvd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "GA",
"postal_code": "310213620",
"country_code": "US",
"telephone_number": "478-272-1210 x2544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "304 N Westberry St",
"address_purpose": "LOCATION",
"city": "Sylvester",
"state": "GA",
"postal_code": "317912125",
"country_code": "US",
"telephone_number": "229-463-7071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 Spring Forest Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276157528",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19305 Ruby Dr",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201766508",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKARD",
"first_name": "MIA",
"middle_name": "DENISE",
"credential": "BC-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2026-09-27",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5023407",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN197273",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024193841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
- Physician Management & Consulting (A.R.C. of Atlanta)
- Physicians Immediate Med of Cobb, P.C.
- Physiotherapy Associates Inc (Physio-Kennesaw)
- Physiotherapy Associates Inc (Physio-Marietta)
- Carolina Del Carmen Pichardo Hernandez, M.D.
- Deborah J Pickett, R.PH
- Nancy Pickett
- Tiffany Pierce, PHARMD
- Philippe Thomas Pierre, CLC
- Gennady Piletsky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.