Individual provider Active NPI

Alicia Luisa Vega, FNP

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1831447606
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN095541 Issued in GA
Practice address
206A Hospital Dr
Dublin, GA 31021-2989
Phone
(478) 272-3525
Fax
(478) 272-3589
NPI assigned
Aug 27, 2012
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN095541 GA Primary

Addresses

Primary practice location

206A Hospital Dr
Dublin, GA 31021-2989

Mailing address

206A Hospital Dr
Dublin, GA 31021-2989
Phone (478) 272-3525

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000399 GA Practitioner - Nurse Practitioner 6406741222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN095541GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Cardiology Associates PC CurrentSince Oct 1, 2021 Accepting new patients
Medcare Phyaicians Center, LLC Past Accepting new patients

Locations

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

206 Hospital Dr
Ste A
Dublin, GA 31021
Phone (478) 272-3525

2064 Vineville Ave
Macon, GA 31204
Phone (478) 272-3525

3330 Northside Dr
Ste 200
Macon, GA 31210
Phone (478) 272-3525

Interoperability endpoints

  • Direct secure messaging: alicia.vega@cad.gadirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1831447606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206A HOSPITAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212989",
            "telephone_number": "478-272-3525",
            "fax_number": "478-272-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A HOSPITAL DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212989",
            "telephone_number": "478-272-3525",
            "fax_number": "478-272-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ALICIA",
        "middle_name": "LUISA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN095541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.