Individual provider Active NPI

Vickie A James, M.D.

  • Family Medicine Physician
  • College Park, GA
National Provider Identifier
1184706749
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
031032 Issued in GA
Practice address
5100 Old Bill Cook Rd
College Park, GA 30349-3142
Phone
(470) 225-1345
Fax
(470) 225-1346
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 031032 GA Primary

Addresses

Primary practice location

5100 Old Bill Cook Rd
College Park, GA 30349-3142

Mailing address

5100 Old Bill Cook Rd
College Park, GA 30349-3142
Phone (470) 225-1345

Other practice location 1

1897 Godby Rd
College Park, GA 30349-5235
Phone (678) 519-2872

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL CARE@ESSENTIALMEDICALCARE.COM Health Information Exchange (HIE)

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
I20041007000289 GA Practitioner - Family Practice 6002875887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5100 Old Bill Cook Rd
College Park, GA 30349-3142
Phone (470) 225-1345

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Medical Care CurrentSince Feb 5, 2009 Accepting new patients
Arthritis Care of Georgia, Inc. Current Accepting new patients

Locations

5100 Old Bill Cook Rd
College Park, GA 30349
Phone (404) 344-6991

1897 Godby Rd
College Park, GA 30349
Phone (678) 519-2872

Interoperability endpoints

  • Direct secure messaging: vickie.james@essentialmedicalcare.gadirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184706749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 OLD BILL COOK RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493142",
            "telephone_number": "470-225-1345",
            "fax_number": "470-225-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 OLD BILL COOK RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493142",
            "telephone_number": "470-225-1345",
            "fax_number": "470-225-1346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1897 Godby Rd",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303495235",
            "country_code": "US",
            "telephone_number": "678-519-2872",
            "fax_number": "678-519-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "VICKIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "031032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "CARE@ESSENTIALMEDICALCARE.COM",
            "affiliation": "N",
            "endpointDescription": "CARE@ESSENTIALMEDICALCARE.COM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5100 Old Bill Cook Rd",
            "city": "College Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303493142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

Verify at the official NPI Registry.