Emerald Grace Picarra, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F0822034 Issued in NC

Practice address

1980 Long Branch CT
Kernersville, NC 27284-7398

Phone

(434) 604-0983

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emerald Grace Guillergan Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emerald.picarra.1@16063.direct.athenahealth.com

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.

• Mobolaji Babatope Bakare MD PC

  dba Gate City Primary Care Center

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1295265221
  Medicare reassignment NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1427786607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 LONG BRANCH CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 LONG BRANCH CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847398",
            "telephone_number": "434-604-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARRA",
        "first_name": "EMERALD",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "F0822034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMERALD",
            "last_name": "GUILLERGAN",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaret Phillips, M.A., LCMHCA, NCC
• Physical Medicine of the Carolina's
• Physical Medicine of the Carolinas
• Physical Medicine of the Carolinas
• Michael John Piazza, MD
• Piedmont Chiropractic Center, P.a.
• Piedmont Counseling Center
• Piedmont Gastroenterology Specialists
• Piedmont Triad Family Medicine, PA
• Piedmont Triad Regional Council

• Family Medicine Physician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.

Verify at the official NPI Registry.