Individual provider Active NPI

James Henry Vick III, MD

  • Obstetrics & Gynecology Physician
  • Rome, GA
National Provider Identifier
1083691703
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16056 Issued in SC
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-5000
NPI assigned
Dec 22, 2005
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16056 SC Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

304 Shorter Ave NW
Suite 201
Rome, GA 30165-4290
Phone (706) 509-3300

Other practice location 2

15 Riverbend Dr SW
Rome, GA 30161-6005
Phone (706) 291-0884

Other practice location 3

2360 Rockmart Hwy
Cedartown, GA 30125-6029
Phone (770) 748-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000255 GA Practitioner - Obstetrics/Gynecology 4981658598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212

15 Riverbend Dr SW
Rome, GA 30161-6005
Phone (706) 291-0084

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16056SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Georgia Medical Clinic, P.C. Obstetrics & Gynecology CurrentSince Jul 24, 1995 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Oct 1, 2023 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Aug 6, 2019 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Oct 1, 2023 Accepting new patients
Floyd Healthcare Management Inc Current Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Apr 20, 2023 Accepting new patients
Northwest Georgia Medical Clinic 2LLC Past Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

2855 Old Highway 5
Ste 110
Blue Ridge, GA 30513
Phone (706) 632-2000

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

15 Riverbend Dr SW
Rome, GA 30161
Phone (706) 291-0084

15 Riverbend Dr SW
Ste 200
Rome, GA 30161
Phone (706) 291-0884

304 Shorter Ave NW
Ste 201
Rome, GA 30165
Phone (706) 509-3300

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: jvick@ngmcp.gwaydirect.com
  • Direct secure messaging: jvick911257@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1083691703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Shorter Ave NW",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301654290",
            "country_code": "US",
            "telephone_number": "706-509-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Riverbend Dr SW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301616005",
            "country_code": "US",
            "telephone_number": "706-291-0884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2360 Rockmart Hwy",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301256029",
            "country_code": "US",
            "telephone_number": "770-748-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICK",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-07-15",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "16056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.