AMY HICKS (NPI# 1033656962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033656962 |
| Entity Type | Individual |
| Full Name | AMY HICKS |
| Practice Address |
714 Cedar St Carrollton GA 30117-2415 |
| Practice Telephone | 6789741240 |
| Practice Fax Number | 6789741200 |
| Mailing Telephone | 6789741240 |
| Mailing Fax Number | 6789741200 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN216515 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564525 | Amy Elizabeth Hicks | Nurse Practitioner | 3046 Holden Spring Ct, Dacula, GA 30019-1896 | 2020-10-02 |
| 1003276726 | Amy Hicks | Social Worker | 10230 Bonnycastle Dr, Yukon, OK 73099-7804 | 2016-02-24 |
| 1396154043 | Amy Wickstrom Hicks | Internal Medicine | 7801 Sw 50th Ct, Miami, FL 33143-6028 | 2014-08-07 |
| 1588991533 | Amy J Hicks | Nurse Practitioner | 4761 S Cleveland Ave, Fort Myers, FL 33907-1375 | 2009-11-12 |
| 1912111964 | Amy Cable Hicks | Contractor | 5578 Shannon Heights Blvd, Dublin, OH 43016-4185 | 2007-05-09 |
| 1225116247 | Amy Huynh Hicks | Dentist | 339 W Parkwood Ave, Friendswood, TX 77546-5424 | 2006-11-01 |
| 1588110035 | Amy Hicks | Counselor | 1231 N 29th St, Billings, MT 59101-0122 | 2016-08-25 |
| 1356727077 | Amy Hicks | Registered Nurse | 713 N 4th St, Longview, TX 75601-5412 | 2015-08-04 |
| 1023350618 | Amy Foster Hicks | Nurse Practitioner | 6501 Peake Rd, Suite 200, Macon, GA 31210-8042 | 2013-03-21 |
| 1467773903 | Amy Jo Hicks | Social Worker | 90 Hope Dr, Bldg. 6000, Mountain Home A F B, ID 83648-1057 | 2010-06-18 |
| Street Address |
714 CEDAR ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508027467 | Brent Arthur Harris | Family Medicine | 714 Cedar St, Carrollton, GA 30117-2415 | 2008-06-23 |
| 1407314370 | Kory Zachery | Physician Assistant | 714 Cedar St, Carrollton, GA 30117-2415 | 2019-03-08 |
| 1417316159 | Us Medclinic LLC | Clinic/Center | 714 Cedar St, Carrollton, GA 30117-2415 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841771656 | Sigimol Joseph | Nurse Practitioner | 4541 N Josey Ln Ste 110, Carrollton, TX 75010-4622 | 2018-08-29 |
| 1255678967 | Mariam A Panjwani | Nurse Practitioner | 2304 Janna Way, Carrollton, TX 75006-1509 | 2013-01-15 |
| 1245581602 | Janice May Wilder | Nurse Practitioner | 2183 E Highway 5, Carrollton, GA 30116-7716 | 2012-09-26 |
| 1447393541 | David N Rodriguez | Nurse Practitioner | 2904 Redwood Dr, Carrollton, TX 75007-4839 | 2007-02-15 |
| 1124044029 | Marygrace C Leveille | Nurse Practitioner | 4360 N Josey Ln, Carrollton, TX 75010-4602 | 2006-07-14 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1649737628 | Danyel Kush | Nurse Practitioner | 4100 State Highway 121, Carrollton, TX 75010-1118 | 2019-02-26 |
| 1891265930 | Brinda Matamana | Nurse Practitioner | 4125 Fairway Dr Ste 190, Carrollton, TX 75010-6506 | 2018-12-02 |
| 1447667696 | Wal-mart Stores East, Lp | Nurse Practitioner | 1735 S Highway 27, Carrollton, GA 30117-8941 | 2014-07-21 |
| 1275945891 | Wal-mart Stores Texas, LLC | Nurse Practitioner | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2014-06-02 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.