Active NPI
John Robert Pickett
- Family Medicine Physician
- Sharpsburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200000114
- Practice address
- 9201 County Line Rd.
Sharpsburg, NC 27878 - Phone
- (252) 446-4455
- Fax
- (252) 446-1338
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200000114 | NC | Primary |
Addresses
Primary practice location
9201 County Line Rd.
Sharpsburg, NC 27878
Mailing address
410 S Taylor St
Rocky Mount, NC 27803-1837
Phone (252) 442-5752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89130F0 | Medicaid | PA |
Other names 1
- Dr. John R. Pickett
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
300 N Main St
Rich Square, NC 27869-9577
Phone (252) 539-4161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Halifax Medical Services, Inc | Past | Accepting new patients | |
| Theoria Medical | Family Medicine | Past | Accepting new patients |
| Excellent Spirit Enterprise, Inc. | Past | Accepting new patients | |
| Excellent Spirit Enterprise, Inc. | Past | Accepting new patients | |
| Bertie County Rural Health Association | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
10506 Clear Creek Commerce Dr
Mint Hill, NC 28227
Phone (704) 545-2377
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
300 N Main St
Rich Square, NC 27869
Phone (252) 539-3901
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
-
dba Medical Clinic of Sharpsburg
- Rural Health Clinic/Center
- Sharpsburg, NC
- NPI 1619033115
-
dba Medical Clinic of Sharpsburg
- Rural Health Clinic/Center
- Sharpsburg, NC
- NPI 1760715486
-
dba Windsor Community Health Center Pharmacy
- Clinic Pharmacy
- Windsor, NC
- NPI 1801427711
-
dba Medical Center/Clinic of Enfield
- Rural Health Clinic/Center
- Enfield, NC
- NPI 1144351503
-
dba Theoria Primary Care
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629134127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 S TAYLOR ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031837",
"telephone_number": "252-442-5752",
"fax_number": "252-446-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 COUNTY LINE RD.",
"city": "SHARPSBURG",
"state": "NC",
"postal_code": "27878",
"telephone_number": "252-446-4455",
"fax_number": "252-446-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "JOHN",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200000114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130F0",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "PICKETT",
"middle_name": "R.",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Sharpsburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.