DAVID K. VICKERS
NPI 1629518014
Nurse Practitioner - Family in Adel, GA

Q: What is David Vickers's NPI number?

The NPI number for David Vickers is 1629518014. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Q: What is David 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 David Vickers was last updated on March 3, 2017. 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 March 03, 2017PECOS EnrolledAccepts Medicare Assignment

103 JAMES ST, ADEL, GA 31620(229) 896-3424(229) 896-3838 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About David K. Vickers NPPES

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

DAVID K. VICKERS (NPI 1629518014) is an individual family provider in Adel, Georgia, licensed in Georgia (RN164513) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Manor, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629518014

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDAVID K. VICKERS

Location Address103 JAMES STAdel, GA 31620-1504

Mailing Address907 18th St E, Suite 150Tifton, GA 31794-3643 · (229) 353-3450 · Fax (229) 353-6060

Phone(229) 896-3424

Fax(229) 896-3838

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 3, 2017

✔ NPI 1629518014 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 · RN164513

103 JAMES ST, Adel, GA 31620

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David K. 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 ID3173808276

PECOS Enrollment IDI20170331000386

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.

Medicare Billing Reassignments

Medicare enrollment records show David Vickers reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tift Regional Health System, Inc.

2.5 mi

Rural Health

172 MJ TAYLOR RD
Adel, GA 31620

Reassigned Medicare billing, Georgia enrollment
337 clinicians in this Medicare group

NPI 1871816918 (229) 896-8500

Southland Behavioral Health Services LLC

22 mi

Hospitalist

2209 PINEVIEW DR
Valdosta, GA 31602

Reassigned Medicare billing, Alabama enrollment
7 clinicians in this Medicare group

NPI 1619505765 (229) 236-0831

Southland Emergency Medical Services, L.L.C

39 mi

Emergency Medicine

100 E MADISON ST
Thomasville, GA 31792

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Southland Emergency Medical Services LLC
68 clinicians in this Medicare group

NPI 1477701472 (229) 236-0831

Donalsonville Hospital Inc

87 mi

Rural

102 HOSPITAL CIRCLE
Donalsonville, GA 39845

Reassigned Medicare billing, Georgia enrollment
101 clinicians in this Medicare group

NPI 1720095805 (229) 524-5217

Southland Consolidated Emergency Services, LLC

209 mi

Emergency Medicine

4 MEDICAL DR
Elberton, GA 30635

Reassigned Medicare billing, Georgia enrollment
137 clinicians in this Medicare group

NPI 1174917124 (706) 283-3151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

35 services34 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110132

Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County

Emergency services Birthing friendly

Donalsonville Hospital Inc

Acute Care Hospitals · Donalsonville, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110194

Location102 Hospital CirDonalsonville, GA 39845 · Seminole County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31620 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.

Other Providers at the Same Location NPPES 2

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

RODNEY D. TYSON MD,PC

Clinic/Center (Primary Care)

103 JAMES ST
ADEL, GA 31620

Cook County (229) 896-3424

CURIOUS CUBS LEARNING TREE, LTD

Voluntary or Charitable

103 JAMES ST
ADEL, GA 31620

Cook County (904) 372-3066

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 David Vickers's NPI number?

The NPI number for David Vickers is 1629518014. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Where is David Vickers located?

David Vickers practices at 103 James St, Adel, GA 31620. The listed phone number is (229) 896-3424.

What is David Vickers's specialty?

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

Is David Vickers enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Vickers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Vickers reassigns Medicare benefits to 5 organizations: Tift Regional Health System, Inc. (Adel, GA), Southland Behavioral Health Services LLC (Valdosta, GA), Southland Emergency Medical Services, L.L.C (Thomasville, GA), Donalsonville Hospital Inc (Donalsonville, GA) and Southland Consolidated Emergency Services, LLC (Elberton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Vickers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Vickers accept?

Health plans from Blue Cross and Blue Shield of Alabama list David Vickers 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 David Vickers affiliated with any hospitals?

According to CMS data, David Vickers is affiliated with Memorial Hospital And Manor and Donalsonville Hospital Inc.

When was this NPI record last updated?

The NPPES record for David Vickers was last updated on March 3, 2017. 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.