Dana H Hickman (NPI# 1902805328, PAC ID# 6305810185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902805328 |
| PAC ID by PECOS | 6305810185 |
| Professional Enrollment ID | I20140624002190 |
| Full Name | Dana H Hickman |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Address |
3850 Windermere Pkwy Suite 105 Cumming GA 30041-7033 |
| Phone Number | 6784552800 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1988 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638343924 |
| Number of Group Practice Members | 166 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Eagles Ne St Dr, Suite 300d, Canton, GA 30115 | 6784553200 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 | 6784552800 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Hartman | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1630 |
| Hannah Butler Cummings | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3380 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Gorka Zurinaga | Internal Medicine | Northside Primary Care Professional Services,llc | 11785 Northfall Ln, Suite 505, Alpharetta, GA 30009-7961 |
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Lonnie Herzog | Internal Medicine | Northside Primary Care Professional Services,llc | 5670 Peachtree-dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342-4791 |
| Syed Wasi Rizvi | Internal Medicine | Northside Primary Care Professional Services,llc | 3400 A-old Milton Pkwy, Suite 200, Alpharetta, GA 30005-3707 |
| Street Address |
3850 WINDERMERE PKWY SUITE 105 |
| City | CUMMING |
| State | GA |
| Zip | 30041-7033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Praharsha Ravindranatha Menon | Family Medicine | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Priya Vamsi Bayyapureddy | Internal Medicine | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Swachitha Kothapally | Family Medicine | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Nichole J Pridemore | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUMMING + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dana H Hickman.
| 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.