Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
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
Mailing address118 Chadwyck Cir, Bonaire, GA 31005-3167

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

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