CAMELIA HICKS (NPI# 1831621580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831621580 |
| Entity Type | Individual |
| Full Name | CAMELIA HICKS |
| Practice Address |
4146 Highway 278 Ne Covington GA 30014-2494 |
| Mailing Address |
200 Grayson Manor Dr Loganville GA 30052-7823 |
| Practice Telephone | 7707873788 |
| Mailing Telephone | 2515548505 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN205476 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4146 HIGHWAY 278 NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508051178 | Asfc Outreach Therapeutic Counseling Services, LLC | Case Management | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2007-09-07 |
| 1831682020 | Angellica Marie Wentworth | Marriage & Family Therapist | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-06-12 |
| 1780171744 | Debra Faye Edwards | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-04-16 |
| 1326543604 | Latoria Hairston | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-03-28 |
| 1306262274 | Shondalette Chatfield | Community/Behavioral Health | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2014-03-14 |
| 1205252897 | Deborah Miller | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2014-03-06 |
| 1164735247 | Kimberly A. Adams | Psychologist | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2010-07-19 |
| 1811147333 | Marcus Duane Linen | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040677 | Meredith Katelyn Kanet | Nurse Practitioner | 704 N High St, Covington, OH 45318-1420 | 2020-10-09 |
| 1144834284 | Yvona Butts | Nurse Practitioner | 2963 Fairview Rd, Covington, GA 30016-1125 | 2020-09-05 |
| 1417561002 | Tabria Colston | Nurse Practitioner | 9190 Gallitin Dr Sw, Covington, GA 30014-3034 | 2020-09-01 |
| 1336758622 | Amanda C Rembert | Nurse Practitioner | 2131 Stallings St Nw Unit 585, Covington, GA 30015-2420 | 2020-07-23 |
| 1063020428 | Melanie Marie Cox | Nurse Practitioner | 3792 Kraddle Creek Dr, Covington, GA 30014-7700 | 2020-07-21 |
| 1902437270 | Tina Duncan | Nurse Practitioner | 19405 Helenbirg Rd, Covington, LA 70433-5197 | 2020-01-27 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1942861018 | Trina C Guzan | Nurse Practitioner | 13130 Highway 1085 Ste 100, Covington, LA 70433-6835 | 2019-06-27 |
| 1255894523 | Stephanie Salathe Knapps | Nurse Practitioner | 19262 Township Rd, Covington, LA 70435-9243 | 2019-04-12 |
| 1548721707 | Kimberly Amedee | Nurse Practitioner | 310 Homestead Way, Covington, GA 30014-8299 | 2019-03-28 |
| Find all providers in COVINGTON | ||||
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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.