James E Vickers Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004578 Issued in GA

Practice address

2121 Warm Springs Rd
Columbus, GA 31904-7955

Phone

(706) 243-4500

Fax

(706) 243-4503

NPI assigned

Jan 12, 2007

Last updated

Mar 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jed Vickers Other name

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Cardiology Associates PCGroup PAC ID 0345272910, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southeastern Cardiology Associates PC

  • Interventional Cardiology Physician
  • Columbus, GA
  • NPI 1376527077
  Medicare reassignment Care Compare group
• Sec2

  • Interventional Cardiology Physician
  • Columbus, GA
  • NPI 1285244137
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1669522496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 WAGON WHEEL DR",
            "city": "ELLERSLIE",
            "state": "GA",
            "postal_code": "318075381",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Manchester Expressway",
            "address_2": "Building H-104",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "31904",
            "country_code": "US",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JED",
            "last_name": "VICKERS",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Daejah Vicente
• Donald Vickers, M.D.
• Chelsea Moore Vickery, FNP-C
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• Victory Vision PC
• Village Apothecary LLC (The Village Apothecary, LLC)
• Melanie Quiva Villarosa-Sojan, CRNA

• Physician Assistant in Columbus, GA
• Providers in Columbus, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.