MRS. JACQUELINE MICHELE HICKS (NPI# 1326208117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326208117 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MICHELE HICKS |
| Credential | D.O. |
| Practice Address |
111 W Church St Nashville NC 27856-1327 |
| Mailing Address |
Po Box 7200 Rocky Mount NC 27804-0200 |
| Practice Telephone | 2524594012 |
| Practice Fax Number | 2524599773 |
| Mailing Telephone | 2529370200 |
| Mailing Fax Number | 2524510056 |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2011-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2011-00037 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0116020657 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA | 0012104 | 01 |
| NC | AETNA | 9092685 | 01 |
| NC | MEDCOST | 241298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935708 | Jacqueline S Hicks | Counselor | 13637 60th St Sw, Cokato, MN 55321-4210 | 2017-07-25 |
| 1730545047 | Jacqueline Hutchinson Hicks | Social Worker | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2016-01-04 |
| 1790941946 | Jacqueline Hicks | Specialist/Technologist, Other | 2011 Church St, Plaza 1, Lower Level, Nashville, TN 37203-2000 | 2008-08-06 |
| Street Address |
111 W CHURCH ST |
| City | NASHVILLE |
| State | NC |
| Zip Code | 27856-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254337 | Joseph T Liverman | Family Medicine | 111 W Church St, Nashville, NC 27856-1327 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962751 | John Eaton | Technician | 762 Harare Lane, Nashville, NC 27856 | 2019-10-04 |
| 1073037735 | Ashley Hicks | Licensed Practical Nurse | 5972 Haywood Dr, Rocky Mount, NC 27856 | 2017-08-03 |
| 1538263173 | Progressive Rehab, Inc. | Clinic/Center | 143 Nashville Commons Drive, Nashville, NC 27856 | 2006-09-12 |
| 1174543730 | Jaclyn S Qualter | Nurse Practitioner | 120 W Washington Street, Nashville, NC 27856 | 2006-07-19 |
| 1699219311 | Sheryl Umstead | Counselor | 884 Robbins Lane, Nashville, NC 27856-0603 | 2016-12-14 |
| 1013043751 | Nash County Health Department | Clinical Medical Laboratory | 214 S Barnes St, Box 849, Nashville, NC 27856-0849 | 2007-02-26 |
| 1689954901 | By Faith Home Care Services, Inc | Home Health | 501 Western Ave, Nashville, NC 27856-1123 | 2011-08-17 |
| 1497880033 | County of Nash | Clinic/Center | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-02-23 |
| 1013218395 | Rebecca I Wilkins | Dietitian, Registered | 214 S Barnes St, Nashville, NC 27856-1204 | 2010-11-03 |
| 1043423544 | Lori B. Taylor | Registered Nurse | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-05-08 |
| Find all providers in zip 27856 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1831728054 | Sanitas Medical Center of Tennessee PC | Family Medicine | 2700 Gallatin Pike Ste A, Nashville, TN 37216-3702 | 2020-04-08 |
| 1851923817 | Tabitha Monique Ford | Family Medicine | 3926 Cross Creek Rd, Nashville, TN 37215-2403 | 2020-02-07 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1942667761 | Harpeth Valley Health Center Pllc | Family Medicine | 213 Old Hickory Blvd, Nashville, TN 37221-1301 | 2016-01-25 |
| 1083001747 | Oyedotun Oyewole | Family Medicine | 1005 Dr D.b. Todd Jr Blvd, Nashville, TN 37208 | 2015-04-21 |
| 1922493576 | Monica A Stout | Family Medicine | 1500 21st Ave S Ste 3000, Nashville, TN 37212-3139 | 2015-03-31 |
| 1700213584 | Music City Medical Pllc | Family Medicine | 417 Welshwood Dr Ste 112, Nashville, TN 37211-4225 | 2013-10-11 |
| 1265869853 | Willie James Myers Jr. | Family Medicine | 2720 Clarksville Pike, Nashville, TN 37208-1259 | 2013-09-27 |
| Find all providers in NASHVILLE | ||||
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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.