Vickie L George

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000727 Issued in GA

Practice address

2250 Satellite Blvd
Suite 230
Duluth, GA 30097-4906

Phone

(770) 813-8181

Fax

(770) 813-1545

NPI assigned

Mar 5, 2009

Last updated

Mar 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Vickie George Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 12, 2024 through Aug 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alliance for Change

  • Psychologist
  • Duluth, GA
  • NPI 1689852758
  NPD (past)

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1467692202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SATELLITE BLVD",
            "address_2": "SUITE 230",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974906",
            "telephone_number": "770-813-8181",
            "fax_number": "770-813-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SATELLITE BLVD",
            "address_2": "SUITE 230",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974906",
            "telephone_number": "770-813-8181",
            "fax_number": "770-813-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "VICKIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "000307",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "GEORGE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lora M Gennardo
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• Thomas E Geoghegan, DDS
• Vanessa George-King
• Brittany N. George
• Georgia Cancer Specialists I PC
• Georgia Chiro Billing & Consulting
• Georgia Connections Academy Charter School. Inc.
• Georgia CVS Pharmacy LLC (CVS Pharmacy #16226)
• Georgia CVS Pharmacy LLC (CVS Pharmacy 05352)

• Marriage & Family Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.