CHARLES ROBY HICKS JR. (NPI# 1508851627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851627 |
| Entity Type | Individual |
| Full Name | CHARLES ROBY HICKS JR. |
| Credential | MD |
| Practice Address |
256 Honeysuckle Rd Suite 2 Dothan AL 36305-1157 |
| Practice Telephone | 3347028425 |
| Practice Fax Number | 3347948460 |
| Mailing Telephone | 3347028425 |
| Mailing Fax Number | 3347948460 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
6464 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 052114100 | 05 | |
| AL | 000099911 | 05 | |
| GA | 000444199D | 05 | |
| AL | BLUE SHIELD | 510-05471 | 01 |
| AL | BCBS | 51543041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609489 | Charles I Hicks | Pharmacist | 9807 Beachvie Dr, Jerome, MI 49249-9551 | 2012-08-23 |
| 1992809214 | Charles Michael Hicks | Dentist | 959 Lincoln Hwy, Fairview Heights, IL 62208-2234 | 2006-09-08 |
| 1831400860 | Charles H Hicks | Internal Medicine | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2010-06-24 |
| 1902053598 | Charles Melville Stanley Hicks | Dentist | 800 Zeagler Dr, Suite 330, Palatka, FL 32177-3883 | 2008-08-26 |
| 1619149721 | Charles P Hicks | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2008-03-28 |
| 1447430905 | Charles Hicks | Licensed Practical Nurse | 111 Nw 183rd St, Suite 400, Miami Gardens, FL 33169-4537 | 2007-11-13 |
| 1558484493 | Charles William Hicks IIi | Psychiatry & Neurology | 8831 Satyr Hill Rd, Suite 211, Baltimore, MD 21234-2306 | 2007-04-07 |
| 1801959671 | Charles Hicks | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1720186802 | Charles E Hicks | Podiatrist | 140 North St, Cleveland, MS 38732-2744 | 2006-09-20 |
| Street Address |
256 HONEYSUCKLE RD SUITE 2 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053391581 | Dothan Psychiatric, PC | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2006-01-19 |
| 1770070203 | Carla Leeanna Faulkner | Behavior Technician | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2018-04-19 |
| 1205323730 | Hannah Lee Bush | Behavior Technician | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2018-04-19 |
| 1124492848 | Southern Home Care Services, Inc. | In Home Supportive Care | 256 Honeysuckle Rd, Suite 9, Dothan, AL 36305-1157 | 2015-11-18 |
| 1922437201 | Larry Brent Eubanks | Social Worker | 256 Honeysuckle Rd, Ste 2, Dothan, AL 36305-1168 | 2013-11-06 |
| 1790127975 | Professional Counseling and Consulting Service LLC | Counselor | 256 Honeysuckle Rd, Suite 20 Brightleaf Court, Dothan, AL 36305-1157 | 2013-07-29 |
| 1508121278 | Matthew William Heard | Counselor | 256 Honeysuckle Rd, Suite 14, Dothan, AL 36305-1157 | 2012-07-09 |
| 1376874016 | Emily Bell | Social Worker | 256 Honeysuckle Rd, Ste 12, Dothan, AL 36305-1168 | 2010-01-20 |
| 1437343787 | Stacey Farris | Occupational Therapist | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2007-08-29 |
| 1982898235 | Kimberley Holley | Occupational Therapist | 256 Honeysuckle Rd, Dothan, AL 36305-1157 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353672 | Jamison Behavioral Wellness LLC | Psychiatry & Neurology | 256 Honeysuckle Rd Ste 12, Dothan, AL 36305-1168 | 2020-03-30 |
| 1316444912 | Dr. Graham Psychiatric Services, LLC | Psychiatry & Neurology | 256 Honeysuckle Rd Ste 2, Dothan, AL 36305-1168 | 2018-04-10 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1124325121 | Stephanie Parrish | Psychiatry & Neurology | 1672 Columbia Hwy, Dothan, AL 36303-5434 | 2011-02-28 |
| 1871749572 | Leona Jean Graham | Psychiatry & Neurology | 1865 Honeysuckle Rd Ste 2, Southeast Alabama Medical Center- Altacare, Dothan, AL 36305-4287 | 2008-08-13 |
| 1417020322 | Madeline Fay Ferrell | Psychiatry & Neurology | 114 E Troy St, Dothan, AL 36303-4844 | 2006-11-16 |
| 1629160890 | Dinesh K Karumanchi | Psychiatry & Neurology | 3753, Ste 4, Ross Clark Cir, Dothan, AL 36303-3089 | 2006-09-28 |
| 1396840047 | Medical Specialties of Dothan, PC | Psychiatry & Neurology | 207 Haven Drive, Dothan, AL 36301 | 2006-09-14 |
| 1366403255 | Sam Carroll West | Psychiatry & Neurology | 207 Haven Dr, Dothan, AL 36301-2919 | 2006-03-30 |
| 1053391581 | Dothan Psychiatric, PC | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2006-01-19 |
| Find all providers in DOTHAN | ||||
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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.