P Praxis·MD
● Active Type 1 · Individual

Mitchael Lee Vickers, CRNA

Nurse Anesthetist, Certified Registered·Roswell, GA· NPI 1437128857 · Enumerated 2006 · 20 years on NPI
Vickers is 1 of 31 nurse anesthetist, certified registered providers in Roswell and 1 of 2157 in Georgia.
NPI age
20 years
Enumerated 2006-03-16
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-11-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2157 active nurse anesthetist, certified registered providers in Georgia.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
2500 Hospital Blvd, Suite 480
Roswell, GA 300764975
📞 6787620676
Mailing address
1870 Mayfield Rd
Alpharetta, GA 300091552
📞 6787635144

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    GA license #RN141647 taxonomy 367500000X

Identifiers

TypeValueNotes
01 P00232387 RR MEDICARE
05 (GA) 000806242M

Practice context

Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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