Active NPI
Lilibird Pichardo, M.D.
- Obstetrics & Gynecology Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 71552
- Practice address
- 1267 Highway 54 W
Suite 3200
Fayetteville, GA 30214-2114 - Phone
- (770) 632-9900
- Fax
- (770) 632-9997
- NPI assigned
- Jul 11, 2011
- Last updated
- Mar 23, 2015
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 71552 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W
Suite 3200
Fayetteville, GA 30214-2114
Mailing address
1267 Highway 54 W
Suite 3200
Fayetteville, GA 30214-2114
Phone (770) 632-9900
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71552 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Fayette Women's Specialists | Obstetrics & Gynecology | Current | Accepting new patients |
| GYN-Care Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Crawford Long Hospital | Past | Accepting new patients | |
| GYN-Care Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
212 W Troy St
Ste B
Dothan, AL 36303
Phone (240) 206-9485
1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699
264 19th St NW
Ste 2230
Atlanta, GA 30363
Phone (404) 595-1218
3625 Cumberland Blvd SE
Ste 960
Atlanta, GA 30339
1267 Highway 54 W
Ste 3200
Fayetteville, GA 30214
Phone (770) 632-9900
212 N 2nd St
Ste 100
Richmond, KY 40475
Phone (317) 332-9861
201 Rue Beauregard
Ste 202
Lafayette, LA 70508
Phone (309) 665-0206
2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635
270 Trace Colony Park Dr
#B
Ridgeland, MS 39157
Phone (601) 215-5545
525 Route 73 N
Ste 104
Marlton, NJ 08053
Phone (856) 433-7222
401 Ryland St
Ste 200A
Reno, NV 89502
Phone (775) 571-1616
6545 Market Ave N
Ste 100
North Canton, OH 44721
Phone (216) 282-4749
5810 Shelby Oaks Dr
Ste B
Memphis, TN 38134
Phone (615) 486-2712
5900 Balcones Dr
Ste 100
Austin, TX 78731
2800 E Enterprise Ave
Ste 333
Appleton, WI 54913
Phone (630) 687-0455
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1538444005
-
- Obstetrics & Gynecology Physician
- Fayetteville, GA
- NPI 1164475703
-
dba Emory University dba Emory Crawford Long Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- Obstetrics & Gynecology Physician
- Beverly Hills, CA
- NPI 1699638858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1750679775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W",
"address_2": "SUITE 3200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142114",
"telephone_number": "770-632-9900",
"fax_number": "770-632-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W",
"address_2": "SUITE 3200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142114",
"telephone_number": "770-632-9900",
"fax_number": "770-632-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHARDO",
"first_name": "LILIBIRD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "71552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.