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KEVIN B. HICKS D.O.P.C. NPI 1538347398


NPI Information

NPI: 1538347398
Provider Name: KEVIN B. HICKS, D.O.,P.C.

Doing Business As: FAMILY PRACTICE AT PEACHTREE-DUNWOODY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D1028926

Address:
6105 PEACHTREE DUNWOODY RD STE C115
ATLANTA, GA
ZIP 30328
Phone: (770) 481-0019
Get Directions

KEVIN B. HICKS, D.O.,P.C. is a family medicine in Atlanta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KEVIN B. HICKS, D.O.,P.C. NPI is 1538347398. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Practice At Peachtree-dunwoody.

The provider's business location address is:

6105 PEACHTREE DUNWOODY RD STE C115
ATLANTA, GA
ZIP 30328-943
Phone: (770) 481-0019
Fax: (770) 481-0408

The provider's authorized official is Kevin B. Hicks .
The authorized official title is Physician and has the following contact phone number (770) 481-0019.

The CLIA number assigned to this NPI record is 11D1028926 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/4/2008 and was last updated on 3/27/2019.


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
1207Q00000XFamily Medicine52959GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16643OTHERGEORGIAMEDICARE GROUP NUMBER

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

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