CHARLES P HICKS (NPI# 1619149721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619149721 |
| Entity Type | Individual |
| Full Name | CHARLES P HICKS |
| Credential | CRNA |
| Practice Address |
677 Church St Ne Marietta GA 30060-1101 |
| Mailing Address |
5671 Peachtree Dunwoody Rd Ne Suite 530 Atlanta GA 30342-5000 |
| Practice Telephone | 7707940477 |
| Practice Fax Number | 7707943108 |
| Mailing Telephone | 4042571415 |
| Mailing Fax Number | 4048511649 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN157151 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 303421764 | 4048517324 | 4048432627 |
| 8954 Hospital Dr, Douglasville, GA 301342272 | 7707940477 | 7707943108 |
| 146 Bill Carruth Pkwy, Hiram, GA 301413749 | 7707940477 | 7707943108 |
| 2540 Windy Hill Rd Se, Marietta, GA 300678605 | 7707940477 | 7707943108 |
| 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 |
| 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 |
| 1508851627 | Charles Roby Hicks Jr. | Psychiatry & Neurology | 256 Honeysuckle Rd, Suite 2, Dothan, AL 36305-1157 | 2005-09-14 |
| Street Address |
677 CHURCH ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285095 | Grace S Kim | Anesthesiology | 677 Church St Ne, Marietta, GA 30060-1101 | 2005-09-14 |
| 1205436425 | Lakesha Alexis | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-10-27 |
| 1710594080 | Terrence Helms | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-09-30 |
| 1063022481 | Laura Elliott | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-08-01 |
| 1346868908 | Megan Grace Zimmerman | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-07-10 |
| 1578180535 | Devon Potler-jack | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-06-25 |
| 1740802032 | Noelle Shaw | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-05-11 |
| 1316567860 | Molly O'keeffe | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-24 |
| 1740800317 | Sara Roberts | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-23 |
| 1508486184 | Luke Bishop | Student in an Organized Health Care Education/Training Program | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245577816 | Lindsey Dodson | Nurse Anesthetist, Certified Registered | 1960 Fields Pond Dr, Marietta, GA 30068-1566 | 2013-01-15 |
| 1417024688 | Peter Paul Chvala Jr. | Nurse Anesthetist, Certified Registered | 2328 Milstead Cir Ne, Marietta, GA 30066-5769 | 2006-11-30 |
| 1326128059 | Laura G Fisher | Nurse Anesthetist, Certified Registered | 2540 Windy Hill Road, Windy Hill Hospital, Marietta, GA 30067 | 2006-10-17 |
| 1487618161 | Michelle K Carpenter | Nurse Anesthetist, Certified Registered | 599 Lullingstone Dr Se, Marietta, GA 30067-2716 | 2006-04-12 |
| 1467420208 | Jerome Andrew Lottman | Nurse Anesthetist, Certified Registered | 4106 Columns Dr Se, Marietta, GA 30067-9105 | 2006-03-09 |
| 1124096862 | Russell L. Branch Jr. | Nurse Anesthetist, Certified Registered | 531 Roselane St Nw, Suite 830, Marietta, GA 30060 | 2006-03-09 |
| 1710594080 | Terrence Helms | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-09-30 |
| 1902421787 | Valerie Marie Wellman | Nurse Anesthetist, Certified Registered | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2020-06-08 |
| 1629624135 | Sharaine Michele Richards | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2019-08-12 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
| Find all providers in MARIETTA | ||||
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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.