Provider Type Icon

JAIME WICKS MD NPI 1164801346


NPI Information

NPI: 1164801346
Provider Name: JAIME WICKS, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

PECOS Registration: Yes

Address:
1364 CLIFTON RD NE STE BG20
ATLANTA, GA
ZIP 30322
Phone: (404) 712-4596
Get Directions

Jaime Wicks, MD is a neuroradiology radiology in Atlanta, GA with 9 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Jaime Wicks, MD NPI is 1164801346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2015

The provider's business location address is:

1364 CLIFTON RD NE STE BG20
ATLANTA, GA
ZIP 30322-001
Phone: (404) 712-4596

The NPI 1164801346 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 6/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology88295GEORGIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.