Individual provider Active NPI

Robert Favrot Vickers, MD

  • Family Medicine Physician
  • Brookhaven, GA
National Provider Identifier
1891372199
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101650 Issued in GA
Practice address
3925 Peachtree Rd NE Ste 300
Brookhaven, GA 30319-5257
Phone
(770) 400-7700
Fax
(770) 254-6109
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Medical Care Corporation 368 clinicians

Practice addresses (Care Compare)

3925 Peachtree Rd NW
Suite 300
Atlanta, GA 30319-3398
Phone (404) 231-4231

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

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: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241121000673 GA Practitioner - Family Practice 1254736911 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46806ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Piedmont Providers LLC PastSince Jul 28, 2024 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

3925 Peachtree Rd NE
Brookhaven, GA 30319
Phone (404) 355-1285

3925 Peachtree Rd NE
Ste 300
Brookhaven, GA 30319
Phone (404) 231-4231

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46806 AL
Family Medicine Physician 207Q00000X 101650 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

3925 Peachtree Rd NE Ste 300
Brookhaven, GA 30319-5257

Mailing address

3925 Peachtree Rd NE Ste 300
Brookhaven, GA 30319-5257
Phone (770) 400-7700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2024.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1891372199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE STE 300",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195257",
            "telephone_number": "770-400-7700",
            "fax_number": "770-254-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE STE 300",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195257",
            "telephone_number": "770-400-7700",
            "fax_number": "770-254-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "ROBERT",
        "middle_name": "FAVROT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "46806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "101650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.