Active NPI
Clara M. Picayo, MD
- Pediatrics Physician
- Roswell, GA
National Provider Identifier
1346357282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 058381
- Practice address
- 861 Holcomb Bridge Rd
Ste 200
Roswell, GA 30076-1900 - Phone
- (770) 992-4455
- Fax
- (770) 926-2758
- NPI assigned
- Aug 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 058381 | GA | Primary |
Addresses
Primary practice location
861 Holcomb Bridge Rd
Ste 200
Roswell, GA 30076-1900
Mailing address
3369 Buford Hwy NE
Suite 810
Brookhaven, GA 30329-3722
Phone (404) 321-4692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058381 | Other | GA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Clinic Medical Center | Past | Accepting new patients | |
| Atlanta Family Healthcare, LLC | Past | Accepting new patients | |
| Clinica Union | Past | Accepting new patients | |
| Clara M Picayo MD PC | Pediatrics | Past | Accepting new patients |
| Comprehensive Community Guidance Center Inc | Past | Accepting new patients | |
| Monzon Medical Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Decatur, GA
- NPI 1922295609
-
- Family Medicine Physician
- Roswell, GA
- NPI 1053787358
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1366460396
-
- General Practice Physician
- Miami, FL
- NPI 1265503411
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1760470652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1346357282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3369 BUFORD HWY NE",
"address_2": "SUITE 810",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293722",
"telephone_number": "404-321-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 HOLCOMB BRIDGE RD",
"address_2": "STE 200",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761900",
"telephone_number": "770-992-4455",
"fax_number": "770-926-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICAYO",
"first_name": "CLARA",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "058381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "058381",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.