Paul Pickett Jr.

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

4708 Twisted Oaks Rd Apt 104
Charlotte, NC 28212-7317

Phone

(704) 456-8120

Fax

(704) 509-9208

NPI assigned

Oct 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lloyd Home Health Care

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1558941351
  NPD Authorized official

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1619442076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 TWISTED OAKS RD APT 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127317",
            "telephone_number": "704-456-8120",
            "fax_number": "704-509-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 TWISTED OAKS RD APT 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282127317",
            "telephone_number": "704-456-8120",
            "fax_number": "704-509-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619442076",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Pickel, MED, LAT, ATC
• Jeremy Andrew Pickell, MD
• Mary Frances Pickens-Wilson
• Angela Marie Pickersgill, MD
• Marcie Lynne Pickett, ANP
• Raven C Pickett
• Leigh Anne Pickup, PA
• Cameron Scott Piechocinski, D.C.
• Piedmont Adult Living Services, Inc.
• Piedmont Clinical Logistics LLC

• Adult Companion in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Companion in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.