Bakari Eugene Vickerson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

066914 Issued in GA

Practice address

620 Colonial Park Dr Ste 300
Roswell, GA 30075-3839

Phone

(404) 609-4912

Fax

(404) 868-9499

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Howard University College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beal Wellness LLCGroup PAC ID 4284012444, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beal Wellness LLC

  • Psychiatry Physician
  • East Point, GA
  • NPI 1811494503
  Medicare reassignment Care Compare group NPD
• Optimum Life Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roswell, GA
  • NPI 1396199238
  Medicare reassignment NPD Authorized official
• Mindful Health Solutions Ga PC

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1982354395
  Medicare reassignment NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324

  Psychiatry

  Medicare reassignment NPD
• Psychiatry and Wellness of Georgia, LLC

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Roswell, GA
  • NPI 1528774916
  Medicare reassignment NPD
• Intown Atlanta Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1861841744
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1437310380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COLONIAL PARK DR STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COLONIAL PARK DR STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753839",
            "telephone_number": "404-609-4912",
            "fax_number": "404-868-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERSON",
        "first_name": "BAKARI",
        "middle_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "066914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia J Vellozzi, MD
• Andrea Johnson Verburg, LPMT, MT-BC
• Veriswound
• Vibrant ABA of Georgia LLC
• Mitchael Lee Vickers, CRNA
• Vida Brain Center
• Vida Chiropractic Center
• Tarreonne Vilera, RBT
• Desiree Villadolid, M.D.
• Village Podiatry Group, L.L.C.

• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.