DR. WATERS MERRILL HICKS JR. (NPI# 1780663807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780663807 |
| Entity Type | Individual |
| Full Name | DR. WATERS MERRILL HICKS JR. |
| Credential | M.D. |
| Practice Address |
334 Smith Ave Thomasville GA 31792-5533 |
| Practice Telephone | 2292271595 |
| Practice Fax Number | 2292271385 |
| Mailing Telephone | 2292271595 |
| Mailing Fax Number | 2292271385 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
38251 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000594811A | 05 | |
| GA | 000594811H | 05 | |
| GA | 000594811Q | 05 | |
| GA | 000594811J | 05 | |
| GA | 000594811K | 05 | |
| GA | 000594811D | 05 | |
| GA | 000594811P | 05 | |
| GA | 000594811G | 05 | |
| GA | 000594811L | 05 | |
| GA | 000594811O | 05 |
| Street Address |
334 SMITH AVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184120818 | Catherine W Howell | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2018-04-02 |
| 1720588346 | Kamila Renee Brinson | Nurse Practitioner | 334 Smith Ave, Thomasville, GA 31792-5533 | 2018-02-20 |
| 1740706951 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-08-18 |
| 1356877328 | Edie Willis | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-05-11 |
| 1063892974 | Deuel Mcelreath Iv | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2015-06-05 |
| 1619317682 | Justin Lee Loy | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2013-07-05 |
| 1063856243 | Archbold Physical Medicine and Rehab of South Georgia | Physical Medicine & Rehabilitation | 334 Smith Ave, Thomasville, GA 31792-5533 | 2013-04-18 |
| 1598016610 | Kate Courtney Tucker | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2012-09-28 |
| 1235497025 | Clayton Barkley Darley | Nurse Practitioner | 334 Smith Ave, Thomasville, GA 31792-5533 | 2012-04-30 |
| 1851438386 | Melody Royal | Dietitian, Registered | 334 Smith Ave, Thomasville, GA 31792-5533 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669542957 | Dwight Alfred Mcleish | Internal Medicine | 415 Bartow St, Thomasville, GA 31792-6076 | 2006-11-08 |
| 1427152958 | Mark Gregory Wood | Internal Medicine | 106 Oak St, Thomasville, GA 31792 | 2006-09-13 |
| 1740706951 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-08-18 |
| 1619317682 | Justin Lee Loy | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2013-07-05 |
| 1790982882 | Mark G. Wood M.d. | Internal Medicine | 106 Oak St, Thomasville, GA 31792-5435 | 2007-07-02 |
| 1528123965 | Daryl O Crenshaw | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2006-12-26 |
| 1730127945 | Yveline D Jean-claude | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2006-06-02 |
| 1649217050 | Nephrology Consultants, Inc., PC | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792 | 2006-06-02 |
| 1124008297 | Raul Gabriel Santos | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968511 | Gwinnett Nephrology LLC | Internal Medicine | 1567 Janmar Rd Ste 100, Snellville, GA 30078-0308 | 2019-08-20 |
| 1063070654 | Kidney Specialists of Georgia PC | Internal Medicine | 575 Professional Dr Ste 290, Lawrenceville, GA 30046-3347 | 2019-05-30 |
| 1295219103 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy Ste D, Lagrange, GA 30241-2610 | 2018-09-18 |
| 1912484395 | Atlanta Kidney Care LLC | Internal Medicine | 1462 Montreal Rd Ste 214, Tucker, GA 30084-6931 | 2018-07-27 |
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1316344492 | Oconee Nephrology Associates, Inc. | Internal Medicine | 700 Oglethorpe Ave., Suite B1, Athens, GA 30606 | 2014-12-04 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1306265384 | Srikar Kumar | Internal Medicine | 250 Village Center Pkwy Ste 100, Stockbridge, GA 30281-9104 | 2014-04-07 |
| 1477995868 | Moti Samaki | Internal Medicine | 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606-2184 | 2013-07-25 |
| 1902143233 | Barry Jay Rosenbaum | Internal Medicine | 2000 Castleway Dr Ne, Atlanta, GA 30345-3914 | 2013-01-07 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.