Active NPI
Randa Aleasha Pycard, MSN, FNP
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN209203
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN209203 | Other | GA | RN 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN209203 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Northside Urgent Care Holding, LLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care Ga PC | Current | Accepting new patients | |
| First Class Healthcare LLC | Past | 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.
-
dba Grady Health System
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Urgent Care Clinic/Center
- Atlanta, GA
- NPI 1679962237
-
dba CenterWell Senior Primary Care-Woodstock
- Internal Medicine Physician
- Woodstock, GA
- NPI 1689491680
-
dba CenterWell Senior Primary Care-Old National
- Internal Medicine Physician
- South Fulton, GA
- NPI 1801463468
-
dba Grady Inpatient Rehabilitation Unit
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Health Maintenance Organization
- Lawrenceville, GA
- NPI 1639891765
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grady Health Systems
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992799050
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.