Active NPI
George Wilson Vick II, M.D.
- Obstetrics & Gynecology Physician
- Knoxville, TN
National Provider Identifier
1730150293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- TNMD14697
- Practice address
- 501 19TH St Ste 304
Knoxville, TN 37916-1839 - Phone
- (865) 522-2229
- Fax
- (865) 546-8355
- NPI assigned
- Jan 31, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TNMD14697 | TN | Primary |
Addresses
Primary practice location
501 19TH St Ste 304
Knoxville, TN 37916-1839
Mailing address
501 19TH St Ste 304
Knoxville, TN 37916-1839
Phone (865) 522-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3700996 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
501 19TH St
Suite 304
Knoxville, TN 37916-1839
Phone (865) 522-2229
Hospital & facility affiliations
- Physicians Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14697 | TN | MD | Clinical Social Worker |
| TNMD14697 | TN | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- drvick@gwvimp-tn.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Knoxville, TN
- NPI 1003014507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1730150293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 19TH ST STE 304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161839",
"telephone_number": "865-522-2229",
"fax_number": "865-546-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 19TH ST STE 304",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161839",
"telephone_number": "865-522-2229",
"fax_number": "865-546-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICK",
"first_name": "GEORGE",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "TNMD14697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3700996",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.