BRIAN P. VICKERY (NPI# 1558559906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558559906 |
| Entity Type | Individual |
| Full Name | BRIAN P. VICKERY |
| Credential | MD |
| Practice Address |
1605 Chantilly Dr Ne Atlanta GA 30324-3267 |
| Mailing Address |
2015 Uppergate Drive Suite 326 Atlanta GA 30322-0001 |
| Practice Telephone | 4047855437 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 74977 | GA | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
2008-01114 | NC | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
043180 | CT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Erwin Rd, Durham, NC 277100001 | 9196848111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588986335 | Brian Scott Vickery | Nurse Anesthetist, Certified Registered | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2010-02-22 |
| Street Address |
1605 CHANTILLY DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30324-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175719 | Jessica Barrett | Speech-Language Pathologist | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2020-05-09 |
| 1265921969 | Angela M Mason | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2018-05-08 |
| 1801393459 | Ashley Brannen Driver | Nurse Practitioner | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2018-04-10 |
| 1528452489 | Eliana Kovitch | Nurse Practitioner | 1605 Chantilly Dr Ne, Suite 300, Atlanta, GA 30324-3267 | 2015-03-27 |
| 1841615739 | Kun Hui Yi | Nurse Practitioner | 1605 Chantilly Dr Ne, Suite 305, Atlanta, GA 30324-3267 | 2014-02-28 |
| 1396087789 | Lynnfield Massey Eaton | Nurse Practitioner | 1605 Chantilly Dr Ne, Suite 300, Atlanta, GA 30324-3267 | 2013-03-23 |
| 1730443680 | Ajay Srinivas Kasi | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2012-06-26 |
| 1942576848 | Kristina Cossen | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2012-03-26 |
| 1760700603 | Sumit Verma | Pediatrics | 1605 Chantilly Dr Ne, Atlanta, GA 30324-3267 | 2010-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1326515636 | Jacqueline Beckhom | Rehabilitation Counselor | Trinity Social Services, LLC 50 Lenox Pointe, Ne Suite, Atlanta, GA 30324 | 2018-10-25 |
| 1366925497 | David Wayne Richardson | Psychiatry & Neurology | 400 Rock Springs Road Ne, Atlanta, GA 30324 | 2018-09-14 |
| 1730625989 | Hwh, LLC | In Home Supportive Care | 1108 Pine Heights Dr Ne, Atlanta, GA 30324 | 2017-01-12 |
| 1780134403 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2452 Morosgo Way Ne, Atlanta, GA 30324 | 2016-10-05 |
| 1063891372 | Jacqueline Nguyen | Family Medicine | 1125 Norwich Cir Ne, Atlanta, GA 30324 | 2015-05-20 |
| 1306277595 | Gerald Elroy Mitchell | Occupational Therapist | 1261 La Vista Road Ne, L - 4, Atlanta, GA 30324 | 2013-12-12 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
| 1336589183 | Mary Azar Pride | Registered Nurse | 30-b Lenox Pte. N.e., Bldg 30 - Suite B, Atlanta, GA 30324 | 2013-06-26 |
| 1447594569 | Harley Anti-aging Institute LLC | Medical Genetics, Ph.D. Medical Genetics | 2678 Buford Highway Ne, Atlanta, GA 30324 | 2012-11-15 |
| Find all providers in zip 30324 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164863999 | Chih-yin Yeh | Allergy & Immunology | 5673 Peachtree Dunwoody Rd # 445, Atlanta, GA 30342-1731 | 2013-07-09 |
| 1023352069 | Advanced Allergy Inc | Allergy & Immunology | 5512 Glenridge Dr Ne, Unit A, Atlanta, GA 30342-7213 | 2012-11-15 |
| 1306135421 | United Spine and Ortho, LLC | Allergy & Immunology | 552 Ponce Deleon Avenue, Atlanta, GA 30308 | 2011-03-29 |
| 1891891982 | Lawrence Patrick Mckean | Allergy & Immunology | 17 Executive Prk Drive Ne, Suite 250, Atlanta, GA 30329-2220 | 2006-09-15 |
| 1831129261 | Luqman Seidu | Allergy & Immunology | 5671 Peachtree Dunwoody, Suite 550, Atlanta, GA 30342-5000 | 2006-07-03 |
| 1508893280 | Gary Z Lotner | Allergy & Immunology | 2296 Henderson Mill Rd, Suite 300, Atlanta, GA 30345 | 2006-06-27 |
| 1669421491 | Keith Ian Lenchner | Allergy & Immunology | 2045 Peachtree Rd Ne Ste 800, Atlanta, GA 30309-1412 | 2006-05-09 |
| 1720088602 | Kelvin J Holloway | Allergy & Immunology | 35 Jesse Hill Jr. Dr. Se, Atlanta, GA 30303-3032 | 2005-07-21 |
| 1831536879 | Omni Allergy Immunology and Asthma | Allergy & Immunology | 5671 Peachtree Dunwoody Rd, Suite 550, Atlanta, GA 30342-5000 | 2013-05-31 |
| 1609116631 | Airis Allergy Connection LLC | Allergy & Immunology | 5825 Glenridge Dr, Bldg. 2, Suite 120, Atlanta, GA 30328-5387 | 2013-02-28 |
| Find all providers in ATLANTA | ||||
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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.