Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vicki DO

Individual provider Anesthesiologist Assistant · NPI 1033953294

Vicki DO is an Anesthesiology Assistant in Atlanta, Georgia. Qualified in 2024, 2 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone: (770) 530-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 12627 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1033953294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address297 Preakness Way, Forsyth, GA 31029-5367

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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