PICKFORD MEDICAL CLINIC
NPI 1255665170
Clinic/Center in Suwanee, GA
About Pickford Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PICKFORD MEDICAL CLINIC (NPI 1255665170) is a healthcare organization registered as a clinic/center in Suwanee, Georgia and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Jill Russell, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pickford Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pickford Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Suwanee, GA 30024
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2000473
Pickford Medical Clinic · Suwanee, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pickford Medical Services, LLC.'s NPI number?
The NPI number for Pickford Medical Services, LLC. is 1255665170. It was assigned to this organization in the NPPES registry on September 24, 2009. The provider is doing business as Pickford Medical Clinic.
Where is Pickford Medical Services, LLC. located?
Pickford Medical Services, LLC. is located at 7810 Mcginnis Ferry Rd Suite #108, Suwanee, GA 30024. The listed phone number is (770) 622-9446.
What is Pickford Medical Services, LLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Pickford Medical Services, LLC. enrolled in Medicare?
Yes. Pickford Medical Services, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pickford Medical Services, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pickford Medical Services, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pickford Medical Services, LLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2000473) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pickford Medical Services, LLC. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pickford Medical Clinic · NPI 1255665170
Clinic/Center organization in Suwanee, Georgia. Organization record, active in the CMS NPPES registry since September 24, 2009.
## Identity
- **NPI:** 1255665170 (Entity type: Organization)
- **Enumerated:** September 24, 2009
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Pickford Medical Services, Llc.
- **Organization subpart:** No
- **Authorized official:** Jill Russell, MEMBER
## Practice location
- **Address:** 7810 MCGINNIS FERRY RD, SUITE #108, Suwanee, GA 30024-1633
- **Phone:** (770) 622-9446
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255665170) · Data from the CMS NPPES public registry.