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NEIL E WHICKER M.D.
NPI 1053412171
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308(404) 616-2440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Neil E Whicker M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEIL E WHICKER M.D. (NPI 1053412171) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (46278) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (1997).

NPPES Registry Identity

NPI1053412171
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNEIL E WHICKERCredential: M.D.
Location Address341 PONCE DE LEON AVE NEAtlanta, GA 30308-2012
Mailing Address341 Ponce De Leon Ave NeAtlanta, GA 30308-2012 · (404) 616-2440
Phone(404) 616-2440
Sole ProprietorYes
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1997
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053412171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 46278
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
341 PONCE DE LEON AVE NE, Atlanta, GA 30308
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Other Identifiers 1

Medicare UPINH04068GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Neil E Whicker M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789877598
PECOS Enrollment IDI20101025000380
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MESSERET YOHANNES PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
Fulton County (404) 616-6041
VALERIA DANIELA CANTOS LUCIO MD
Internal Medicine (Infectious Disease)
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
Fulton County (404) 616-2440
DR. ALEY GEORGE KALAPILA MD
Internal Medicine (Infectious Disease)
341 PONCE DE LEON AVE NE, PONCE DE LEON CLINIC, EMORY UNIVERSITY
ATLANTA, GA 30308
Fulton County (404) 616-2440
DR. BRADLEY LAMAR SMITH PHARMD
Pharmacist
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
Fulton County (404) 616-9747
DR. ANTHONY ERNEST ROZIER JR. D.D.S.
Dentist (General Practice)
341 PONCE DE LEON AVE NE, ORAL HEALTH CENTER
ATLANTA, GA 30308
Fulton County (404) 616-9772
MARY FOOTE M.D., M.P.H.
Internal Medicine
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
Fulton County (404) 251-8702
CARLOS A DIAZGRANADOS M.D.
Internal Medicine (Infectious Disease)
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
Fulton County (404) 616-2440
MS. JULIE TERRY
Social Worker
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
Fulton County (201) 615-3187

Frequently 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 Neil Whicker's NPI number?

The NPI number for Neil Whicker is 1053412171. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Neil Whicker located?

Neil Whicker practices at 341 Ponce De Leon Ave NE, Atlanta, GA 30308. The listed phone number is (404) 616-2440.

What is Neil Whicker's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Neil Whicker enrolled in Medicare?

Yes. Neil Whicker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Neil Whicker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Neil Whicker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Neil Whicker affiliated with any hospitals?

According to CMS data, Neil Whicker is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Neil Whicker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.