Randall Vickery, B.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

309 E Main St
Pickens, SC 29671-2319

Phone

(864) 898-5800

NPI assigned

Oct 11, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Pickens County Commission on Alcohol & Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1134127475
  NPD (past)
• Pickens County Commission on Alcohol & Drug Abuse

  • Addiction Medicine (Family Medicine) Physician
  • Easley, SC
  • NPI 1467207209
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1669922928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 BERN CIR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265401",
            "telephone_number": "864-314-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712319",
            "telephone_number": "864-898-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "RANDALL",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Audibility Center
• Lori Ellen Thrailkill, D.M.D.
• Christina Tygielski, PT, DPT
• Ansley Tyree
• Billie H Upchurch, M.S.
• Kathy Marie Waggett, M.D.
• Wal-Mart Stores East LP
• Walgreen Co
• Stephen M Warnick II, DDS
• Katherine Watkins

• Counselor in Pickens, SC
• Providers in Pickens, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.