DR. LORETTA HICKS M.D. NPI 1821155854

NPI Information

  • NPI: 1821155854
  • Provider Name: DR. LORETTA HICKS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 HALSEY AVE SE BLDG 550
    NAS ATLANTA, NAVAL BRANCH HEALTH CLINIC-ATLANTA
    MARIETTA, GA
    ZIP 30060
  • Phone: (678) 655-5018

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NPI Details

DR. Loretta Hicks, M.D. is a family medicine in Marietta, 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. DR. Loretta Hicks, M.D. NPI is 1821155854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 HALSEY AVE SE BLDG 550
NAS ATLANTA, NAVAL BRANCH HEALTH CLINIC-ATLANTA
MARIETTA, GA
ZIP 30060-277
Phone: (678) 655-5018
Fax: (678) 655-5306

The NPI 1821155854 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 1/2/2007 and was last updated on 7/8/2007.

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 Medicine021998GEORGIAYes

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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