Charlene Hicks (NPI# 1235599515, PAC ID# 3274828330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235599515 |
| PAC ID by PECOS | 3274828330 |
| Professional Enrollment ID | I20180829000792 |
| Full Name | Charlene Hicks |
| Organization Legal Name | SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. |
| Address |
5488 U S Hwy 49 Hattiesburg MS 39401-7806 |
| Phone Number | 60154587002217 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466342605 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 | 60154587002217 | SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. |
| Organization Legal Name | SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Leigh Ladner | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Kisha Lashay Knight | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Cierra Celeste Green | Family Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Catherine M Thomas | Internal Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Veronica R Tassin | Family Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Robin Murphree | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Quenyatta Echols-williams | Internal Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Celeste May Pitts | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Eugene Shannon | Obstetrics/gynecology | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Stephanie Rachelle Lumpkin-freeman | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Street Address |
5488 U S HWY 49 |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-7806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Leigh Ladner | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Kisha Lashay Knight | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Cierra Celeste Green | Family Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Catherine M Thomas | Internal Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Veronica R Tassin | Family Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Robin Murphree | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Quenyatta Echols-williams | Internal Medicine | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Celeste May Pitts | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Eugene Shannon | Obstetrics/gynecology | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Stephanie Rachelle Lumpkin-freeman | Nurse Practitioner | Southeast Mississippi Rural Health Initiative, Inc. | 5488 U S Hwy 49, Hattiesburg, MS 39401-7806 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HATTIESBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charlene Hicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.