Curtis L Pickard, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010419 Issued in GA

Practice address

540 Jackson St
Thomson, GA 30824-2416

Phone

(706) 595-2651

Fax

(606) 595-9029

NPI assigned

Oct 5, 2006

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Curtis L. Pickard, D.M.D., P.C.

  • General Practice Dentistry
  • Thomson, GA
  • NPI 1235301268
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1336235654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 JACKSON ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242416",
            "telephone_number": "706-595-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JACKSON ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242416",
            "telephone_number": "706-595-2651",
            "fax_number": "606-595-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "CURTIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179560",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Valena Nicholson, BSN, RN
• Afua Asantewaa Osei-Akoto, PHARMD
• Christopher Alan Palmer
• Latonya Patterson, LPC
• PHG Thomson LLC (Thomson Health and Rehabilitation)
• Ulysses Clifford Pickard, DMD
• Gabriel J Pitt, AU.D.
• Samuel Casey Pitts, D.O.
• Robert F. Polglase, MD
• Kristen Estelle Townsend Pon, OTR

• General Practice Dentistry in Thomson, GA
• Providers in Thomson, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.