MR. PATRICK WAYNE HICKEY (NPI# 1356856082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356856082 |
| Entity Type | Individual |
| Full Name | MR. PATRICK WAYNE HICKEY |
| Credential | AGACNP |
| Practice Address |
5665 Peachtree Dunwoody Rd Atlanta GA 30342-1764 |
| Mailing Address |
661 Arlington Ter Se Marietta GA 30067-5601 |
| Practice Telephone | 5038030900 |
| Mailing Telephone | 5038030900 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
157809 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245354604 | Patrick Joseph Hickey | Counselor | 1132 Sw Luttrell Rd Ste F, Blue Springs, MO 64015-4900 | 2007-03-19 |
| 1699746099 | Patrick E Hickey | Nurse Practitioner | 1773 W Saint Marys Rd Ste 105, Tucson, AZ 85745-2654 | 2006-02-01 |
| 1891052569 | Patrick Tarran Hickey | Internal Medicine | 1501 N Cedar Crest Blvd, Suite 110, Allentown, PA 18104-2309 | 2012-04-18 |
| 1821203894 | Patrick Thomas Hickey | Psychiatry & Neurology | 932 Morreene Rd, Durham, NC 27705-4410 | 2007-05-13 |
| 1740356526 | Patrick W Hickey | Physician Assistant | 620 John Paul Jones Circle, Portsmouth, VA 23700 | 2006-11-25 |
| 1962438523 | Patrick Wilson Hickey | Pediatrics | 6900 Georgia Ave Nw, Wramc- Dept of Pediatrics, Washington, DC 20307-0003 | 2006-06-24 |
| Street Address |
5665 PEACHTREE DUNWOODY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739376 | Joel John Varghese | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-10-28 |
| 1942810130 | Alexander Douglas Yox | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-08-03 |
| 1265056352 | Julie Thi Quach | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-06-03 |
| 1245866276 | Alyssa Broadwater | Physician Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2020-03-21 |
| 1104462571 | Amanda Dostie | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-11-20 |
| 1164067112 | Eltayeb Mohamed Ahmed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-11-14 |
| 1104468826 | Leanna Nicole Hutto | Registered Nurse | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-10-14 |
| 1083255376 | Katelyn Lott | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-10-08 |
| 1033750278 | Marjorie Marilyn White | Nurse Practitioner | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-09-29 |
| 1144872789 | Jeannie Stamps Aldridge | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2019-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636941 | Pamela Patrice Ward | Nurse Practitioner | 789 Hammond Dr Apt 1706, Atlanta, GA 30328-8156 | 2020-07-07 |
| 1124640586 | Lana Wassim Hojeij | Nurse Practitioner | 67 28th St Nw, Atlanta, GA 30309-1842 | 2020-05-08 |
| 1346874021 | Monique Sims Breland | Nurse Practitioner | 993d Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1602 | 2020-03-03 |
| 1245860634 | Christy Michelle Apple | Nurse Practitioner | 1900 Chancery Ln, Atlanta, GA 30341-1010 | 2020-01-24 |
| 1366008237 | Melissa Lee Hallman | Nurse Practitioner | 1421 Peachtree St Ne Ste A, Atlanta, GA 30309-3040 | 2019-05-15 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1770098717 | Tracy Michelle Shelton | Nurse Practitioner | 550 Peachtree St Ne Bldg 3245-a, Atlanta, GA 30308-2247 | 2017-12-13 |
| 1013457845 | Phung Ngoc Lu | Nurse Practitioner | 550 Peachtree Street -, Davis Fischer Building Office 3245a, Atlanta, GA 30308 | 2017-02-27 |
| 1386197457 | Elizabeth Carrington Mitchell | Nurse Practitioner | 373 Brooks Ave Ne, Atlanta, GA 30307-2141 | 2016-07-25 |
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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.