Individual provider Active NPI

David H Vickers, MD

  • Anesthesiology Physician
  • Franklin, TN
National Provider Identifier
1720158058
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
26165 Issued in TN
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

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3087691MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
26165TNMDFamily 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.

Verify at the official NPI Registry.