DR. JENNIFER O HICKS (NPI# 1649231408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649231408 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER O HICKS |
| Credential | M.D. |
| Practice Address |
276 Nissan Pkwy Building E Suite 100 Canton MS 39046-7006 |
| Practice Telephone | 6018554880 |
| Practice Fax Number | 6018592995 |
| Mailing Telephone | 6018554880 |
| Mailing Fax Number | 6018592995 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 09855 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114331 | 05 | |
| MS | UPIN | D00992 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492844 | Jennifer Hicks | Music Therapist | 13228 Spencer Sweet Pea Ln, Eden Prairie, MN 55347-2181 | 2020-03-18 |
| 1104354554 | Jennifer Hicks | Physical Therapist | 2777 Jefferson Davis Hwy Ste 109, Stafford, VA 22554-8323 | 2017-05-30 |
| 1831599620 | Jennifer Hicks | Acupuncturist | 31 Village Dr W, Hamilton, NJ 08620-1309 | 2014-08-28 |
| 1821231382 | Jennifer Joan Hicks | Behavioral Analyst | 641 N Keene Rd, Clearwater, FL 33755-5635 | 2009-04-14 |
| 1770519597 | Jennifer Lee Hicks | Naturopath | 9755 Sw Barnes Rd Ste 155, Portland, OR 97225-6679 | 2006-06-23 |
| 1801403134 | Jennifer Barbara Hicks | Counselor | 20 Eastbrook Rd Ste 104, Dedham, MA 02026-2088 | 2020-09-30 |
| 1720698343 | Jennifer Hicks | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-08-07 |
| 1669036778 | Jennifer Michelle Hicks | Counselor | 600 Arthur St, Knoxville, TN 37921-6405 | 2019-04-24 |
| 1275051682 | Jennifer Hicks | Counselor | 11754 Jollyville Rd Ste 110, Austin, TX 78759-3948 | 2017-09-06 |
| 1427578897 | Jennifer Marie Hicks | Counselor | 1125 Centre St, Boston, MA 02130-3445 | 2017-06-26 |
| Street Address |
276 NISSAN PKWY BUILDING E SUITE 100 |
| City | CANTON |
| State | MS |
| Zip Code | 39046-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740734029 | Derrick Brice Smith | Physical Therapist | 276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 | 2016-08-04 |
| 1487027629 | Rachel Nicole Smith | Physical Therapist | 276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 | 2015-11-10 |
| 1326418617 | Drayer Physical Therapy Jackson LLC | Physical Therapist | 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046-7006 | 2015-09-30 |
| 1427425149 | Drayer Physical Therapy Institute LLC | Physical Therapist | 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046-7006 | 2015-08-28 |
| 1023448610 | Julie Hamilton | Dietitian, Registered | 276 Nissan Pkwy, Building C Suite 100, Canton, MS 39046-7006 | 2013-11-18 |
| 1962770164 | Madison Hma Physician Management, LLC | Obstetrics & Gynecology | 276 Nissan Pkwy, Building #, Suite 100, Canton, MS 39046-7006 | 2011-12-02 |
| 1700968864 | Michelle C Ellison | Physical Therapist | 276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 | 2006-10-19 |
| 1730278078 | Joseph M Thomas | Physical Therapist | 276 Nissan Pkwy, Suite 400, Bldg F, Canton, MS 39046-7006 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902250996 | Alyssa Liguori | Obstetrics & Gynecology | 470 Northside Cherokee Blvd Ste 290, Canton, GA 30115-8029 | 2016-04-16 |
| 1548600042 | Simrat Singh | Obstetrics & Gynecology | 46856 Eastbourne Rd, Canton, MI 48188-3021 | 2013-06-28 |
| 1104261528 | Atlanta Women's Surgery Specialists, P.C. | Obstetrics & Gynecology | 216 Riverstone Dr, Canton, GA 30114-5256 | 2013-04-30 |
| 1063704526 | Alice May Chi | Obstetrics & Gynecology | 1051 N Canton Center Drive, Canton, MI 48187-5097 | 2011-05-03 |
| 1922236652 | Kathryn Rose Kloss | Obstetrics & Gynecology | 1600 S Canton Center Rd Ste 350, Canton, MI 48188-6277 | 2009-07-01 |
| 1184882524 | Michelle A Glasgow | Obstetrics & Gynecology | 460 Northside Cherokee Blvd Ste 400, Canton, GA 30115-8023 | 2008-05-31 |
| 1881894004 | Luna Alkhafaji | Obstetrics & Gynecology | 7300 N Canton Center Rd Ste 210, Canton, MI 48187-1579 | 2007-07-25 |
| 1730300427 | Maria Moman Moman | Obstetrics & Gynecology | 1668 W Peace Street, Canton, MS 39046 | 2007-05-01 |
| 1437242658 | Tina D Groat | Obstetrics & Gynecology | 1561 Glengarry Blvd, Canton, MI 48188-3236 | 2006-10-02 |
| 1144332800 | Jyothi R. Nichanametla | Obstetrics & Gynecology | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-2040 | 2006-08-31 |
| Find all providers in CANTON | ||||
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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.