DR. MELISSA HICKS (NPI# 1710024385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710024385 |
| Entity Type | Individual |
| Full Name | DR. MELISSA HICKS |
| Credential | PH.D. |
| Practice Address |
6601 Zebulon Rd Macon GA 31220-7606 |
| Mailing Address |
175 The Masters Cv Macon GA 31211-6029 |
| Practice Telephone | 4783207766 |
| Mailing Telephone | 4787462127 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2227 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366782237 | Melissa Lauren Hicks | Behavioral Analyst | 5113 Duncan St, Apt. 1, Pittsburgh, PA 15201-2429 | 2013-02-28 |
| 1396140125 | Melissa Ann Hicks | Genetic Counselor, MS | 3980 John R St, 4 Webber North, Box 160, Detroit, MI 48201-2018 | 2014-10-22 |
| 1790185130 | Melissa P. Hicks | Acupuncturist | 379 Hayes St, San Francisco, CA 94102-4420 | 2014-09-03 |
| 1548533425 | Melissa Hicks | Counselor | 75 West St, Danbury, CT 06810-6528 | 2012-02-22 |
| 1184905895 | Melissa Ann Hicks | Physician Assistant | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701 | 2011-09-08 |
| 1053643387 | Melissa C Hicks | Nurse Anesthetist, Certified Registered | 2615 Chester Ave, Bakersfield, CA 93301-2014 | 2010-02-11 |
| 1093745267 | Melissa Alison Hicks | Nurse Practitioner | 3300 Williams Enterprise Dr, Suite 1, Cookeville, TN 38506-4280 | 2006-07-04 |
| 1821059593 | Melissa Maxine Hicks | Family Medicine | 123 Hendersonville Rd, Asheville, NC 28803 | 2006-03-31 |
| Street Address |
6601 ZEBULON RD |
| City | MACON |
| State | GA |
| Zip Code | 31220-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632678 | Corina Heinlein | Student in an Organized Health Care Education/Training Program | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2018-06-12 |
| 1407346075 | Annjanette Wilson | Counselor | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2018-05-18 |
| 1417455742 | Robin Kelly | Licensed Practical Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2018-02-01 |
| 1811401755 | Jennifer Walker | Student in an Organized Health Care Education/Training Program | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-11-30 |
| 1316456031 | Jena Casas | Licensed Practical Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-09-26 |
| 1750804613 | Tobias Michael Pickering | Community/Behavioral Health | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-07-24 |
| 1619490612 | Theresa Ann Wahiwe | Registered Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-07-21 |
| 1982126298 | Frank Michael Pickering | Student in an Organized Health Care Education/Training Program | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-07-10 |
| 1639691074 | Jennifer Leah Cox | Student in an Organized Health Care Education/Training Program | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-07-07 |
| 1699215103 | Connie Lawhon | Registered Nurse | 6601 Zebulon Rd, Macon, GA 31220-7606 | 2017-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1073833638 | Michael R Johns Psyd | Psychologist | 3678 Vineville Ave, Macon, GA 31204-1868 | 2010-06-07 |
| 1174679062 | Stacey Smoot Owen | Psychologist | 5398 Thomaston Rd, Suite B, Macon, GA 31220-8110 | 2007-01-25 |
| 1902969363 | Jal Psychological Services | Psychologist | 3626 Vineville Ave, Macon, GA 31204-1853 | 2006-12-18 |
| 1801983325 | Steven Alan Hobbs | Psychologist | 655 1st St, Macon, GA 31201-2852 | 2006-10-06 |
| 1063420875 | Mark J. Prigatano | Psychologist | 146 Pierce Ave, Macon, GA 31204-2871 | 2006-08-04 |
| 1407488968 | Christina Lynn Charette | Psychologist | 4931 Riverside Dr # 400a, Macon, GA 31210-1156 | 2020-02-12 |
| 1801319447 | Neha Khorana | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2017-07-25 |
| 1154602910 | Dinah K Ayna | Psychologist | 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | 2011-09-07 |
| 1548588825 | Jeffrey A Wilson-reese | Psychologist | 4600 Fulton Mill Rd, Central S.p. Mental Health Dept., Macon, GA 31208-2500 | 2010-05-11 |
| Find all providers in MACON | ||||
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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.