VICKI LYNDALL VAN (M.D.) – Family Medicine Physician, NPI 1124181086
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
164 GENERAL PRACTICE in GA
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Provider Addresses for VICKI LYNDALL VAN (M.D.)
747, South Hill Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244830
Phone: (770) 228-5407
Type: Location
Club Drive, Griffin, Spalding County, Georgia, 30223, United States
GRIFFIN, GA 302237125
Phone: (770) 228-5407
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 171 Open Payments records for all available years, with a total value of $3,218.
Total Amount is formed as General ($3,218) + Research ($0) + Ownership ($0) = $3,218.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($525).
Total Amount
$3,218
General + Research + Ownership
Payments
171
Total payment records
General Amount
$3,218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $525 |
| ABBVIE INC. | $452 |
| PFIZER INC. | $403 |
| Lilly USA, LLC | $376 |
| Novo Nordisk Inc | $164 |
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: 2008-06-25
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080625000429 | I | General Practice | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 253 | 140 | $0 |
| 99497 | Advance care planning, first 30 minutes | 178 | 178 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 170 | 170 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 166 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 107 | $0 |
Insurance plans in this area (ZIP 30224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | GA | 81002 | Urinalysis, manual test | 30 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Diagnostic Radiology | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Physician Assistant | GA |
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