WINNIE CLAIRE HICKS NPI 1235392408

NPI Information

  • NPI: 1235392408
  • Provider Name: WINNIE CLAIRE HICKS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 162 MEMORIAL DR
    JESUP, GA
    ZIP 31545
  • Phone: (912) 588-2511

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NPI Details

WINNIE CLAIRE HICKS is a family medicine in Jesup, 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. WINNIE CLAIRE HICKS NPI is 1235392408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

162 MEMORIAL DR
JESUP, GA
ZIP 31545-101
Phone: (912) 588-2511
Fax: (912) 588-2518

The provider's authorized official is Winnie Claire Hicks .
The authorized official title is Medical Doctor and has the following contact phone number (912) 588-2511.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine029466GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000369597AMEDICAIDGEORGIA
2252867447OTHERGEORGIAINSURANCES
3E00387MEDICARE UPIN
4238379OTHERGEORGIABLUE CROSS/BLUE SHIELD
5252867447BMEDICARE PINGEORGIA
6GRP2943OTHERGEORGIAMEDICARE GROUP #

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: 11/21/2025

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