Joshua Landon Vickers

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

TRN17312 Issued in FL

Practice address

100 Doctors Dr Ste I
Douglas, GA 31533-2211

Phone

(912) 383-6575

Fax

(912) 383-6476

NPI assigned

May 16, 2012

Last updated

Apr 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Florida College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Surgeons of Georgia LLCGroup PAC ID 5597939421, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
• Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089
• Bacon County Hospital Hospital, Alma, GA, CCN 111327

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joshua.vickers.2@9964.direct.athenahealth.com

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.

• Orthopedic Surgeons of Georgia LLC

  dba Orthopedic Surgeons of Georgia

  • Orthopaedic Surgery Physician
  • Douglas, GA
  • NPI 1427337294
  Medicare reassignment Care Compare group NPD
• Orthopedic Surgeons of Georgia, LLC

  dba Optim Pain Management - Tifton

  • Pain Clinic/Center
  • Tifton, GA
  • NPI 1164857686
  NPD
• CRH Physician Practices, LLC

  dba CRH Pain Management

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Waycross, GA
  • NPI 1316120322
  Care Compare affiliation
• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation
• Coffee Regional Medical Center, Inc

  dba Coffee Regional Medical Center

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527
  Care Compare affiliation

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1871852426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR STE I",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332211",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR STE I",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332211",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317943756",
            "country_code": "US",
            "telephone_number": "229-387-8061",
            "fax_number": "229-388-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Doctors Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332211",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2804 N Oak St Ste C",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025913",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "fax_number": "912-383-6476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724A Old Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315011036",
            "country_code": "US",
            "telephone_number": "912-383-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JOSHUA",
        "middle_name": "LANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "TRN17312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "077804",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003191614A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• V and V Clinic
• Hali Varnedore, NP
• Brock Allen Vickers, PHARMD
• David Allen Vickers, DMD
• Donna Laree Vickers, RN, IBCLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0593)
• Wal-Mart Stores East, LP.
• Walgreen Co (Walgreens #11661)
• Benjamin Walker, NP
• Chelsea Culpepper Walker, RN277971

• Orthopaedic Surgery Physician in Douglas, GA
• Providers in Douglas, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.

Verify at the official NPI Registry.