| Dr Michael John Pickford, MD | |
| 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | |
| (678) 312-7390 | |
| (678) 312-7399 | 
| Full Name | Dr Michael John Pickford | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology | 
| Location | 3855 Pleasant Hill Rd, Duluth, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013915586 | NPI | - | NPPES | 
| 2552774 | Other | GA | AETNA | 
| 52280401 | Other | GA | BCBS OF GEORGIA | 
| O40016072 | Other | GA | RAILROAD MEDICARE | 
| 2234680 | Other | GA | CIGNA | 
| 5997 | Other | GA | KAISER PERMANENTE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207YS0012X | Otolaryngology - Sleep Medicine | 024063 (Georgia) | Secondary | 
| 207Y00000X | Otolaryngology | 024063 (Georgia) | Primary | 
| Entity Name | Gwinnett Physician Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael John Pickford, MD 3855 Pleasant Hill Rd Ste 280, Duluth, GA 30096-8093 Ph: (678) 312-7390 | Dr Michael John Pickford, MD 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 Ph: (678) 312-7390 | 
| Dr. Kim Elaine Schmitt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 420, Duluth, GA 30096 Phone: 770-495-1955 Fax: 770-232-9961 | |
| Christopher J Lee, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3500 Duluth Park Ln, Suite 210, Duluth, GA 30096 Phone: 770-622-4400 Fax: 770-622-7766 |