Active NPI
Robert Favrot Vickers, MD
- Family Medicine Physician
- Brookhaven, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 101650
- 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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
Care Compare affiliation Hospital
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
Practice addresses (Care Compare)
3925 Peachtree Rd NW
Suite 300
Atlanta, GA 30319-3398
Phone (404) 231-4231
Hospital & facility affiliations
- Piedmont Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46806 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| Piedmont Providers LLC | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 46806 | AL | |
| Family Medicine Physician | 207Q00000X | 101650 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.