Individual provider Active NPI

Suzanne Powe Vickers, P.A.

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1811035850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
RA-1119 Issued in AL
Practice address
972 Montclair Rd
Birmingham, AL 35213-1204
Phone
(205) 592-4880
Fax
(205) 592-3999
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X RA-1119 AL Primary

Addresses

Primary practice location

972 Montclair Rd
Birmingham, AL 35213-1204

Mailing address

1507 Sutherland PL
Homewood, AL 35209-2330
Phone (205) 515-9354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000271 AL Practitioner - Physician Assistant 4880860014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Dermatology and Skin Health Center, LLCGroup PAC ID 5193979839, 6 clinicians

Practice addresses (Care Compare)

2279 Valleydale Rd
Suite 100
Hoover, AL 35244-2111
Phone (205) 214-7546

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as group
Quality
79.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
RA-1119ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Vie Chiropractique PastSince Sep 6, 2011 Accepting new patients
Trustcare Health, LLC PastSince Apr 19, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: svickers@directaddress.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811035850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 SUTHERLAND PL",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092330",
            "telephone_number": "205-515-9354",
            "fax_number": "205-592-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MONTCLAIR RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131204",
            "telephone_number": "205-592-4880",
            "fax_number": "205-592-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWE VICKERS",
        "first_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "RA-1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.