David K. Vickers
NPI 1629518014ActiveIndividual· Nurse Practitioner, Family· Adel, GA
Nurse Practitioner, Family with Southland Consolidated Emergency Services LLC and 1 other group, practicing in Adel, Georgia. 62 Medicare patients in 2024, $5,505 paid; nearly all of their 201 Part D prescriptions were generic (98%). Glaxosmithkline, LLC. reported $15.82 in payments in 2024, mostly food and beverage. Lists Donalsonville Hospital Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1629518014 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 3, 2017 |
| Last updated in NPPES | Mar 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN164513 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL); Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 75 across 5 procedure codes |
| Paid by Medicare | $5,505 |
Part D prescriptions in 2024
| Prescriptions (claims) | 201 · 206 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $2,583 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Southland Consolidated Emergency Services LLCBaxley, GA · 69 clinicians
- Donalsonville Hospital IncBrookhaven, GA · 65 clinicians
Hospital affiliations
- Donalsonville Hospital IncDonalsonville, GA
- Memorial Hospital and ManorBainbridge, GA
Industry payments (Open Payments)
- 2024$15.82 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $15.82 | 1 |
What the 2024 payments were for
- Food and Beverage$15.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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