BRIAN VICKERY MD
NPI 1558559906
Pediatrics - Pediatric Allergy/Immunology in Atlanta, GA

Q: What is Brian Vickery's NPI number?

The NPI number for Brian Vickery is 1558559906. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Q: What is Brian Vickery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Brian Vickery was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 11, 2007PECOS Enrolled

1400 TULLIE RD NE, ATLANTA, GA 30329(404) 785-5437(404) 785-9111 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021, Apr 30, 2018 (3 updates tracked since 2018).

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About Brian Vickery Md NPPES

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

BRIAN VICKERY MD (NPI 1558559906) is an individual pediatric allergy/immunology provider in Atlanta, Georgia, licensed in Georgia (79477) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558559906

Entity TypeIndividualMale

Primary Taxonomy2080P0201X

Provider Legal NameBRIAN VICKERYCredential: MD

Location Address1400 TULLIE RD NEAtlanta, GA 30329-2309

Mailing Address1400 Tullie Rd NeAtlanta, GA 30329-2309 · (404) 785-5437 · Fax (404) 785-9111

Phone(404) 785-5437

Fax(404) 785-9111

Sole ProprietorNo

Enumeration DateOctober 11, 2007

Last NPPES UpdateJune 6, 20223 updates tracked since enumeration

✔ NPI 1558559906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in GA · 79477

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

1400 TULLIE RD NE, Atlanta, GA 30329

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Vickery Md 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 20

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

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