Individual provider Active NPI

Randa Aleasha Pycard, MSN, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1851809529
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209203 Issued in GA
Practice address
5775 Peachtree Dunwoody Rd Ste 425
Atlanta, GA 30342-1556
Phone
(844) 403-4325
NPI assigned
Jan 16, 2018
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN209203 GA Primary

Addresses

Primary practice location

5775 Peachtree Dunwoody Rd Ste 425
Atlanta, GA 30342-1556

Mailing address

5481 Stone Cove Dr SW
Atlanta, GA 30331-8941
Phone (206) 383-6586

Other practice location 1

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (706) 787-8021

Other identifiers 1

IdentifierTypeStateIssuer
RN209203OtherGARN AND ARNP

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006003226 GA Practitioner - Nurse Practitioner 0840552550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

1110 W Peachtree St NW
Suite 200
Atlanta, GA 30309-3609
Phone (404) 575-2000

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN209203GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jan 2, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jan 2, 2025 Accepting new patients
Northside Urgent Care Holding, LLC CurrentSince Oct 1, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jan 27, 2023 Accepting new patients
Centerwell Senior Primary Care Ga PC CurrentSince Jan 27, 2023 Accepting new patients
First Class Healthcare LLC PastSince Sep 20, 2022 Accepting new patients

Locations

1110 W Peachtree St NW
Ste 200
Atlanta, GA 30309
Phone (404) 575-2000

745 Memorial Dr SE
Atlanta, GA 30316
Phone (404) 616-3815

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

Organizations & group practices 6

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.

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1851809529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 STONE COVE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318941",
            "telephone_number": "206-383-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 PEACHTREE DUNWOODY RD STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421556",
            "telephone_number": "844-403-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1179 N McDowell Blvd",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949546559",
            "country_code": "US",
            "telephone_number": "706-787-8021",
            "fax_number": "707-664-5147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYCARD",
        "first_name": "RANDA",
        "middle_name": "ALEASHA",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN AND ARNP",
            "identifier": "RN209203",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.