Individual provider Active NPI

Vicky Duhaime, ARNP

  • Geriatric Medicine (Internal Medicine) Physician
  • Dalton, GA
National Provider Identifier
1417433970
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
GAA-NP000829 Issued in GA
Practice address
1209 Starr Dr
Dalton, GA 30720-2578
Phone
(706) 217-1926
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9276848 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9276848 FL
Nurse Practitioner 363L00000X ARNP9276848 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9276848 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X GAA-NP000829 GA Primary

Addresses

Primary practice location

1209 Starr Dr
Dalton, GA 30720-2578

Mailing address

1209 Starr Dr
Dalton, GA 30720-2578

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110001124 GA Practitioner - Nurse Practitioner 6800298647 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP000829GAMDGeriatric Medicine (Internal Medicine) Physician
ARNP9276848FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Healthcare Providers Ga, PC CurrentSince Jul 21, 2025 Accepting new patients
Homestead Hospice of Northwest Georgia, LLC CurrentSince Jun 23, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Homestead Hospice of Northwest Georgia, LLC CurrentSince Jun 23, 2024 Accepting new patients
Pruitthealth Hospice, Inc Current Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Aim Healthcare Providers Ga, PC PastSince Jul 21, 2025 Accepting new patients

Locations

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

1230 Peachtree St NE
Ste 550
Atlanta, GA 30309

197 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 463-6132

1209 Starr Dr
Dalton, GA 30720
Phone (706) 217-1926

205 Roadrunner Blvd
La Fayette, GA 30728
Phone (706) 638-4662

6060 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 745-9204

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

Organizations & group practices 8

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1417433970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 STARR DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 STARR DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202578",
            "telephone_number": "706-217-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHAIME",
        "first_name": "VICKY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9276848",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9276848",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9276848",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9276848",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "GAA-NP000829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.