Active NPI
Victoria Elaine Custer, MD
- Obstetrics & Gynecology Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 96800
- Practice address
- 15 Riverbend Dr SW Ste 200
Rome, GA 30161-6005 - Phone
- (706) 291-0884
- NPI assigned
- Apr 4, 2019
- Last updated
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 96800 | GA | Primary |
Addresses
Primary practice location
15 Riverbend Dr SW Ste 200
Rome, GA 30161-6005
Mailing address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000
Other practice location 1
1242 N Decatur Rd NE
Atlanta, GA 30306-2313
Phone (770) 359-8952
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vcuster2711518@CarolinasHealthcareSystem.direct-ci.com |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212
15 Riverbend Dr SW
Rome, GA 30161-6005
Phone (706) 291-0084
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.9 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Past | Accepting new patients | |
| Floyd Healthcare Management Inc | Past | Accepting new patients |
Locations
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
15 Riverbend Dr SW
Rome, GA 30161
Phone (706) 291-0084
15 Riverbend Dr SW
Ste 200
Rome, GA 30161
Phone (706) 291-0884
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
Interoperability endpoints
- vcuster2711518@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
dba Atrium Health Floyd Primary Care
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
-
dba Atrium Health Floyd Specialty Pharmacy
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
dba Atrium Health Floyd Cherokee Emergency Medical Services
- Ambulance
- Rome, GA
- NPI 1356444814
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1689136855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 2ND AVE STE 103",
"city": "ROME",
"state": "GA",
"postal_code": "301613210",
"telephone_number": "706-509-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 RIVERBEND DR SW STE 200",
"city": "ROME",
"state": "GA",
"postal_code": "301616005",
"telephone_number": "706-291-0884"
}
],
"practiceLocations": [
{
"address_1": "1242 N Decatur Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303062313",
"country_code": "US",
"telephone_number": "770-359-8952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSTER",
"first_name": "VICTORIA",
"middle_name": "ELAINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "96800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vcuster2711518@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "N",
"address_1": "15 Riverbend Dr SW Ste 200",
"city": "Rome",
"state": "GA",
"country_code": "US",
"postal_code": "301616005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.