Pickford Medical Clinic – Clinic/Center, NPI 1255665170

Pickford Medical Clinic is a healthcare provider. based in Duluth, Georgia. specializing in Clinic/Center. The organization holds a License No. ========= (GA). The NPI Number for Pickford Medical Clinic is 1255665170

Main info

Organization
Name
Pickford Medical Clinic
NPI
1255665170
Phone
(404) 514-4139
Address
7325 AMBERLEIGH WAY
Authorized Official
DR. JILL RUSSELL MEMBER M.D.
Enumeration Date
24 September 2009
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Pickford Medical Clinic

  • 7325 AMBERLEIGH WAY

    DULUTH, GA 300971873

    Phone: (404) 514-4139

    Type: Mailing

  • Dunkin' Donuts, 7810, McGinnis Ferry Road, Suwanee, Forsyth County, Georgia, 30024, United States

    SUITE #108

    SUWANEE, GA 300241633

    Phone: (770) 622-9446

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (227 days ago).

Enrollment records

1

Earliest due date

2025-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100301000668OClinic/Group PracticeGA2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30097)

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Reviews

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Frequently asked questions

What is the registry number for Pickford Medical Clinic?
The registry entry for Pickford Medical Clinic shows NPI 1255665170.
Should I treat Pickford Medical Clinic as an active provider?
Patients and plans typically see Pickford Medical Clinic as active in the national extract.
How should patients interpret Pickford Medical Clinic's specialty?
The extract shows Clinic/Center for Pickford Medical Clinic. Clinical services aligned with this taxonomy classification.
Which community is linked to Pickford Medical Clinic?
Pickford Medical Clinic shows a connection to Duluth, Georgia in registry-derived data.
Who maintains Pickford Medical Clinic's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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