Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ivy Vickers

Individual provider Family Nurse Practitioner · NPI 1184173965

Ivy Vickers is a Nurse Practitioner in Macon, Georgia. Qualified in 2016, 10 years ago. Practices with Mid-South Palliative Services LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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Practice location Address checks out

657 Hemlock St Ste 220
Macon, GA 31201 Not confirmed with CMS for 10 years — call before visiting
Phone: (478) 361-6921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN215789 (GA)

Record details

NPI number1184173965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESSeptember 22, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mid-South Palliative Services Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Centerwell Home Health Home health agency · Shalimar, FL

Colleagues at Mid-South Palliative Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Macon