HANNAH JANLEIGH VICKERS (FNP-C) – Family Nurse Practitioner, NPI 1013503002

HANNAH JANLEIGH VICKERS (FNP-C) is a healthcare provider. based in Tifton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. NP259976 (GA). The NPI Number for HANNAH JANLEIGH VICKERS (FNP-C) is 1013503002

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH JANLEIGH VICKERS (FNP-C)
NPI
1013503002
Phone
(229) 391-4130
Address
1493 KENNEDY RD STE A
Enumeration Date
15 December 2020
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293914130
Graduation Year
2020 (6 years ago)
PAC ID
3678015930
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20240603001665
Address ID
GA317944178TI1493XRDXX301

Contacts

Main Contact
Tifton
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

9,744 NURSE PRACTITIONER in GA

Provider Addresses for HANNAH JANLEIGH VICKERS (FNP-C)

  • 1493 KENNEDY RD STE A

    TIFTON, GA 317944178

    Phone: (229) 391-4130

    Fax: (229) 391-4138

    Type: Location

  • 1948 OLD OCILLA RD

    TIFTON, GA 317941644

    Phone: (229) 391-3500

    Fax: (229) 391-3499

    Type: Mailing

  • PO BOX 2650

    TIFTON, GA 317932650

    Phone: (229) 402-0425

    Fax: (229) 391-4059

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,039.

Total Amount is formed as General ($1,039) + Research ($0) + Ownership ($0) = $1,039.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABIOMED ($883).

Total Amount

$1,039

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,039

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603001665INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31794)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062745169View full group profile
NameSpecialtyState
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Vascular SurgeryFL
-GA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for HANNAH JANLEIGH VICKERS (FNP-C)?
Save NPI 1013503002 if you need a stable reference for HANNAH JANLEIGH VICKERS (FNP-C).
Is HANNAH JANLEIGH VICKERS (FNP-C)'s NPI currently valid?
The extract we use shows HANNAH JANLEIGH VICKERS (FNP-C) as active.
Does HANNAH JANLEIGH VICKERS (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for HANNAH JANLEIGH VICKERS (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for HANNAH JANLEIGH VICKERS (FNP-C)?
The page summarizes Tifton, Georgia for HANNAH JANLEIGH VICKERS (FNP-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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