David K Vickers, | |
103 James St, Adel, GA 31620-1504 | |
(229) 896-3424 | |
(229) 896-3838 |
Full Name | David K Vickers |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 103 James St, Adel, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629518014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN164513 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital And Manor | Bainbridge, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Consolidated Emergency Services Llc | 2860792066 | 36 |
Entity Name | Tift Regional Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Southland Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477701472 PECOS PAC ID: 3779701743 Enrollment ID: O20140904001715 |
Entity Name | Southland Consolidated Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
Mailing Address | Practice Location Address |
---|---|
David K Vickers, 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 353-3450 | David K Vickers, 103 James St, Adel, GA 31620-1504 Ph: (229) 896-3424 |
Alexander Warren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 S Hutchinson Ave, Adel, GA 31620 Phone: 229-896-2124 | |
Mrs. Priscilla R Greene, FHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-5200 Fax: 229-388-9855 | |
Walter Stone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-8500 | |
Tammy Charlene Carter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Hutchinson Ave, Adel, GA 31620 Phone: 229-848-5073 | |
Melissa Michelle Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-3424 | |
Caroline Hendley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 172 Mj Taylor Rd, Adel, GA 31620 Phone: 229-896-8500 |