Individual provider Active NPI

Mia Denise Pickard, BC-FNP

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1285279737
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197273 Issued in GA
Practice address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone
(866) 389-2727
NPI assigned
Nov 7, 2019
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004000090 GA Practitioner - Nurse Practitioner 5193101863 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
5023407NCMDFamily Nurse Practitioner
0024193841VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jul 27, 2025 Accepting new patients
Access Medical Clinic Georgia LLC CurrentSince Apr 15, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 27, 2022 Accepting new patients
Access Medical Clinic Georgia LLC CurrentSince Apr 15, 2025 Accepting new patients
Access Medical Clinic Georgia LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 27, 2022 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.