DAVID K. VICKERS – Family Nurse Practitioner, NPI 1629518014

DAVID K. VICKERS is a healthcare provider. based in Adel, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN164513 (GA). The NPI Number for DAVID K. VICKERS is 1629518014

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DAVID K. VICKERS
NPI
1629518014
Phone
(229) 896-3424
Address
103 JAMES ST
Enumeration Date
3 March 2017
Last Update Date
3 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292463500
Graduation Year
2016 (10 years ago)
PAC ID
3173808276
Group Practice PAC ID
2860792066
Professional Enrollment ID
I20170331000386
Address ID
GA398194256BA1500XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for DAVID K. VICKERS

  • 103, James Street, Adel, Cook County, Georgia, 31620, United States

    ADEL, GA 316201504

    Phone: (229) 896-3424

    Fax: (229) 896-3838

    Type: Location

  • 907, 18th Street East, Tifton, Tift County, Georgia, 31794, United States

    SUITE 150

    TIFTON, GA 317943643

    Phone: (229) 353-3450

    Fax: (229) 353-6060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$16
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: 2020-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170331000386INurse PractitionerGATBD
I20201116000501INurse PractitionerALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making2020$0
99284Emergency department visit with moderate level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 31620)

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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: 2860792066View full group profile
NameSpecialtyState
Physician AssistantGA
Emergency MedicineSC
Emergency MedicineGA
Physician AssistantGA
Family Practice, Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA
Emergency MedicineGA
Emergency Medicine, Internal MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify DAVID K. VICKERS for billing?
Administrative and clinical systems typically use NPI 1629518014 for DAVID K. VICKERS.
Does the public listing show DAVID K. VICKERS as active?
DAVID K. VICKERS's NPI record reflects an active status in NPPES.
Which specialty label fits DAVID K. VICKERS?
NPPES ties DAVID K. VICKERS to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID K. VICKERS?
DAVID K. VICKERS shows a connection to Adel, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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