Individual provider Active NPI

Lilibird Pichardo, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
National Provider Identifier
1750679775
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
71552 Issued in GA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030000865 GA Practitioner - Obstetrics/Gynecology 7719108083 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71552GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Fayette Women's Specialists Obstetrics & Gynecology CurrentSince Aug 4, 2014 Accepting new patients
GYN-Care Inc Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Crawford Long Hospital Past Accepting new patients
GYN-Care Inc Obstetrics & Gynecology PastSince Dec 7, 2025 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.

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

Verify at the official NPI Registry.