TRACY HICKS (NPI# 1003296427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003296427 |
| Entity Type | Individual |
| Full Name | TRACY HICKS |
| Practice Address |
1644 Jackson St Barnwell SC 29812-2156 |
| Practice Telephone | 8035411245 |
| Practice Fax Number | 8035411247 |
| Mailing Telephone | 8035411245 |
| Mailing Fax Number | 8035411247 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1033199898 | Tracy Hicks | Obstetrics & Gynecology | 13700 St Francis Blvd, Suite 305, Midlothian, VA 23114-3222 | 2006-01-18 |
| Street Address |
1644 JACKSON ST |
| City | BARNWELL |
| State | SC |
| Zip Code | 29812-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844196 | Barnwell County Commission On Alcohol and Drug Abuse | Community/Behavioral Health | 1644 Jackson St, Barnwell, SC 29812-2156 | 2005-07-14 |
| 1730721283 | Buffy Marie Shisler | Peer Specialist | 1644 Jackson St, Barnwell, SC 29812-2156 | 2019-10-16 |
| 1235796871 | Amanda Beck Bucao | Nurse Practitioner | 1644 Jackson St, Barnwell, SC 29812-2156 | 2019-05-20 |
| 1528520079 | Ohio Valley Physicians Inc | Family Medicine | 1644 Jackson St, Barnwell, SC 29812-2156 | 2019-04-03 |
| 1124510029 | Shannon G Sheppard | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2018-06-06 |
| 1043702061 | Larry D Christy | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2018-06-05 |
| 1093210445 | Tonya Lashell Aiken | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2018-03-28 |
| 1790143261 | Marybeth Leigh Stanley | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2016-01-29 |
| 1639548126 | Veronica Tucker | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2015-09-15 |
| 1730568270 | Kiffany Perlote | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
| 1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
| 1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
| 1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
| 1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
| 1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1891804928 | Dca of Barnwell LLC | Clinic/Center | 10708 Marlboro Avenue, Barnwell, SC 29812 | 2006-08-30 |
| Find all providers in zip 29812 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1124510029 | Shannon G Sheppard | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2018-06-06 |
| 1043702061 | Larry D Christy | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2018-06-05 |
| 1093210445 | Tonya Lashell Aiken | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2018-03-28 |
| 1790143261 | Marybeth Leigh Stanley | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2016-01-29 |
| 1639548126 | Veronica Tucker | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2015-09-15 |
| 1114306594 | Brenda Sept | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2015-05-19 |
| 1750769527 | Tonya Felton-thomas | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2015-05-13 |
| 1225416159 | Kristin Campbell | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1770961641 | Kathy Shaner | Counselor | 1644 Jackson St, Barnwell, SC 29812-2156 | 2015-05-12 |
| Find all providers in BARNWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.