IVY VICKERS
NPI 1184173965
Nurse Practitioner - Family in Macon, GA

Q: What is Ivy Vickers's NPI number?

The NPI number for Ivy Vickers is 1184173965. It was assigned to this individual provider in the NPPES registry on September 22, 2016. The provider is also known as Ivy Eaton.

Q: What is Ivy Vickers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Vickers was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment

657 HEMLOCK ST, SUITE 220, MACON, GA 31201(478) 361-6921 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ivy Vickers NPPES

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

IVY VICKERS (NPI 1184173965) is an individual family provider in Macon, Georgia, licensed in Georgia (RN215789) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184173965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIVY VICKERS

Location Address657 HEMLOCK ST, SUITE 220Macon, GA 31201

Mailing Address118 Chadwyck CirBonaire, GA 31005-3167 · (478) 213-6948

Phone(478) 361-6921

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 22, 2016

✔ NPI 1184173965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN215789

657 HEMLOCK ST, Macon, GA 31201

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Other Names 1

Former Name (1)Ivy Eaton

Other Identifiers 1

Medicaid812782599GA

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

Ivy Vickers 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 ID4688087109

PECOS Enrollment IDI20210406001072

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$6.12 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims2,256 services$0.39 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier15 claims3,324 services$0.32 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$16.49 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.15 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers21 claims21 services$86.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

CENTRAL GEORGIA INTERNIST

Specialist

657 HEMLOCK ST, STE 220
MACON, GA 31201

Bibb County (478) 741-7241

MAGNA CARE MEDICAL SPECIALISTS LLC

Hospitalist

657 HEMLOCK ST, STE 220
MACON, GA 31201

Bibb County (478) 741-7241

DR. IHAB ZAKI ZAGGOUT MD

Internal Medicine (Nephrology)

657 HEMLOCK ST, SUITE 200
MACON, GA 31201

Bibb County (478) 254-7353

CHRISTY R JOHNSON NP

Nurse Practitioner

657 HEMLOCK ST, SUITE 220
MACON, GA 31201

Bibb County (478) 741-7241

SHARELLE FARLEY FNP-BC

Nurse Practitioner (Family)

657 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 254-7353

NRA MIDTOWN MACON GEORGIA LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

657 HEMLOCK ST, SUITE 100
MACON, GA 31201

Bibb County (478) 742-8001

MS. ROBBIE D JAMES RD. LD

Dietitian, Registered

657 HEMLOCK ST, SUITE 100
MACON, GA 31201

Bibb County (478) 501-2400

MARY GAYLE SCHNEE NP-C

Nurse Practitioner (Gerontology)

657 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 741-7241

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 Ivy Vickers's NPI number?

The NPI number for Ivy Vickers is 1184173965. It was assigned to this individual provider in the NPPES registry on September 22, 2016. The provider is also known as Ivy Eaton.

Where is Ivy Vickers located?

Ivy Vickers practices at 657 Hemlock St Suite 220, Macon, GA 31201. The listed phone number is (478) 361-6921.

What is Ivy Vickers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ivy Vickers enrolled in Medicare?

Yes. Ivy Vickers 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.

When was this NPI record last updated?

The NPPES record for Ivy Vickers was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.