Active NPI
David H Vickers, MD
- Anesthesiology Physician
- Franklin, TN
National Provider Identifier
1720158058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 26165
- Practice address
- 216 Cheekwood CT
Franklin, TN 37069-6524 - Phone
- (615) 969-2505
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 26165 | TN | Primary |
Addresses
Primary practice location
216 Cheekwood CT
Franklin, TN 37069-6524
Mailing address
216 Cheekwood CT
Franklin, TN 37069-6524
Phone (615) 969-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3087691 | Medicaid | TN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SOUTHERNHILLS.COCSO.TNA@CCDA.HCADIRECT.NET | ||
| Direct Messaging Address | SOUTHERNHILLS.COCSO.TNA@CCDA.HCADIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26165 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1720158058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CHEEKWOOD CT",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370696524",
"telephone_number": "615-969-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 CHEEKWOOD CT",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370696524",
"telephone_number": "615-969-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "DAVID",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "26165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3087691",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SOUTHERNHILLS.COCSO.TNA@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "391 Wallace Rd",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372114851",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SOUTHERNHILLS.COCSO.TNA@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "391 Wallace Rd",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372114851",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.