JEFFREY VICKERMAN
NPI 1205517224
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since July 31, 2023PECOS Enrolled
800 S DUKE ST, DURHAM, NC 27701(919) 681-3161 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Vickerman NPPES

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

JEFFREY VICKERMAN (NPI 1205517224) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205517224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY VICKERMAN
Location Address800 S DUKE STDurham, NC 27701-3902
Mailing Address607 Rockcastle DrCary, NC 27519-2601
Sole ProprietorNo
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
NPI 1205517224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 S DUKE ST, Durham, NC 27701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey Vickerman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701
Physician Assistant
800 S DUKE ST
DURHAM, NC 27701

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 Jeffrey Vickerman's NPI number?

The NPI number for Jeffrey Vickerman is 1205517224. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Jeffrey Vickerman located?

Jeffrey Vickerman practices at 800 S Duke St, Durham, NC 27701. The listed phone number is (919) 681-3161.

What is Jeffrey Vickerman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffrey Vickerman enrolled in Medicare?

Yes. Jeffrey Vickerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Vickerman was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.