CHRISTOPHER L VICKERY (NPI# 1952377228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952377228 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER L VICKERY |
| Credential | MD |
| Practice Address |
340 N Belair Rd Evans GA 30809-3000 |
| Practice Telephone | 7068685676 |
| Practice Fax Number | 7067222824 |
| Mailing Telephone | 7068685676 |
| Mailing Fax Number | 7067222824 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2010-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
034487 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS | 940261 | 01 |
| GA | 000724006G | 05 | |
| CIGNA | 8202549 | 01 | |
| GA | MEDICARE RAILROAD | P00201658 | 01 |
| EMPLOYMENT STANDARD | 157315300 | 01 | |
| AETNA | 5446256 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286775 | Christopher Vickery | Nurse Practitioner | 288 Country Lane Dr, Lumberton, TX 77657-6804 | 2020-08-19 |
| Street Address |
340 N BELAIR RD |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588637227 | Alan B Whitehouse | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-13 |
| 1528354669 | Lauren Crosby White | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2011-06-28 |
| 1952697633 | Christopher Mcalister Ayers | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2011-06-22 |
| 1023242195 | Jonathan W. Rutledge | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2009-05-05 |
| 1568624252 | Gitika Aggarwal | Pathology | 340 N Belair Rd, Evans, GA 30809-3000 | 2008-06-25 |
| 1942474531 | Jeanette Young | Speech-Language Pathologist | 340 N Belair Rd, Evans, GA 30809-3000 | 2008-04-15 |
| 1386830578 | Miranda R. Ross | Audiologist | 340 N Belair Rd, Evans, GA 30809-3000 | 2007-09-20 |
| 1770649204 | Augusta Ent PC | Specialist | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-12-29 |
| 1376654269 | Robert Tyson Deal | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-08-31 |
| 1548296296 | Ent Surgery Center of Augusta, LLC | Clinic/Center | 340 N Belair Rd, Suite B, Evans, GA 30809-3000 | 2006-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811961618 | Robinson W Schilling Jr. | Otolaryngology | 340 North Belair Rd, Evans, GA 30809 | 2006-02-16 |
| 1588637227 | Alan B Whitehouse | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-13 |
| 1134195407 | Ralph G Owen Jr. | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-27 |
| 1043286313 | Edward A Porubsky | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-27 |
| 1841266111 | Carl M Nechtman | Otolaryngology | 340 North Belair Rd, Evans, GA 30809 | 2006-02-27 |
| 1194799965 | William A Wells | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-16 |
| 1174596712 | John Douglas Harmon | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117469 | Southeast Regional Primary Care Corporation | Otolaryngology | 1707 Meadows Ln Ste C, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1023259454 | Facesfirst,llc | Otolaryngology | 1741 Patriots Way Nw, Kennesaw, GA 30152-4859 | 2009-03-15 |
| 1962652164 | The Nguyen Group | Otolaryngology | 5164 Buford Hwy Ne, Suite 100, Doraville, GA 30340-1105 | 2008-09-24 |
| 1063600914 | Atlanta Institute for Ent | Otolaryngology | 5745 Clarion St Ste B62, Cumming, GA 30040-0305 | 2007-10-04 |
| 1164552220 | Michael Edward Powell | Otolaryngology | 1702 Bent Pine Ln, Statham, GA 30666-2602 | 2007-03-07 |
| 1427041631 | Raymond Howard IIi | Otolaryngology | 107 John Maddox Drive, Rome, GA 30165-1494 | 2005-08-24 |
| 1366858185 | Enti Anesthesia, LLC | Otolaryngology | 1595 Highway 34 E, Newnan, GA 30265-2353 | 2014-07-02 |
| 1619214343 | Kalos Surgical Associates LLC | Otolaryngology | 5670 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342-1699 | 2013-01-15 |
| 1417283094 | Arnold Zweig | Otolaryngology | 1100 Lake Hearn Dr Ne, Suite 410, Atlanta, GA 30342-1523 | 2009-11-02 |
| 1700042132 | Preston Leigh Imhof | Otolaryngology | 2675 N Decatur Rd, Suite 707, Decatur, GA 30033-6131 | 2008-08-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.