DR. JAMES HICKS JR. (NPI# 1902031933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902031933 |
| Entity Type | Individual |
| Full Name | DR. JAMES HICKS JR. |
| Credential | D.M.D. |
| Practice Address |
10475 Medlock Bridge Rd Suite 501 Johns Creek GA 30097-4433 |
| Practice Telephone | 6788229818 |
| Mailing Telephone | 6788229818 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013896 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128726 | James Hicks | Community/Behavioral Health | 513 Dot Ave, Burkburnett, TX 76354-2780 | 2020-06-08 |
| 1679116180 | James Hicks | Technician | 303 Sandy Ln Apt D, Suisun City, CA 94585-1893 | 2019-10-28 |
| 1487149662 | James Lee Hicks Jr. | Community/Behavioral Health | 4826 Cranberry Ave Nw, Canton, OH 44709-1317 | 2018-06-29 |
| 1477802585 | James E Hicks | Dentist | 625 Highway 28 Byp, Anderson, SC 29624-3009 | 2012-09-05 |
| 1295951523 | James Kevin Hicks | Pharmacist | Busch's Pharmacy, 565 E. Michigan Ave, Saline, MI 48176 | 2007-04-17 |
| 1265657092 | James Whitney Hicks | Psychiatry & Neurology | Kirby Forensic P.C., Wards Island Complex, New York, NY 10035-6095 | 2007-04-16 |
| 1679637623 | James Edward Hicks | Chiropractor | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2006-12-21 |
| 1306913728 | James Thomas Hicks | Marriage & Family Therapist | 179 17th St, Pacific Grove, CA 93950-2682 | 2006-11-29 |
| 1770675332 | James Richard Hicks | Dentist | 1300 N Montana Ave, Helena, MT 59601-3507 | 2006-09-29 |
| 1023031648 | James Hicks IIi | Social Worker | 5460 Mystic Oaks Drive, Imperial, MO 63052-3433 | 2006-07-25 |
| Street Address |
10475 MEDLOCK BRIDGE RD SUITE 501 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972041465 | Eunice Sok | Physician Assistant | 10475 Medlock Bridge Rd, Suite 410, Johns Creek, GA 30097-4433 | 2017-02-06 |
| 1538506720 | Pediatric Dentistry of Johns Creek, LLC | Dentist | 10475 Medlock Bridge Rd, 501, Johns Creek, GA 30097-4433 | 2013-05-28 |
| 1235499724 | Karen Nicole Duvall | Family Medicine | 10475 Medlock Bridge Rd, Suite 815, Johns Creek, GA 30097-4433 | 2012-05-18 |
| 1114157922 | Saori Maruyama, Ph.d. LLC | Psychologist | 10475 Medlock Bridge Rd, Building 300, Suite 315, Johns Creek, GA 30097-4433 | 2009-07-15 |
| 1326282021 | Saori Maruyama | Psychologist | 10475 Medlock Bridge Rd, Building 300, Suite 315, Johns Creek, GA 30097-4433 | 2009-04-24 |
| 1720220361 | Sonja Irene Contin | Clinical Neuropsychologist | 10475 Medlock Bridge Rd, Building 300, Suite 315, Johns Creek, GA 30097-4433 | 2009-03-27 |
| 1649445206 | Diane C. Sperry | Psychologist | 10475 Medlock Bridge Rd, Building 300; Suite 315, Johns Creek, GA 30097-4433 | 2008-04-24 |
| 1285805754 | Diane C. Sperry, Ph.d., LLC | Clinic/Center | 10475 Medlock Bridge Rd, Building 300, Suite 315, Johns Creek, GA 30097-4433 | 2008-03-12 |
| 1376699652 | Steve Ricci | Dentist | 10475 Medlock Bridge Rd, Suite 114, Johns Creek, GA 30097-4433 | 2007-01-26 |
| 1326108820 | Lorna L. Benbenisty | Psychologist | 10475 Medlock Bridge Rd, Suite 315, Johns Creek, GA 30097-4433 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245507292 | Eaglin Dental Group, Johns Creek | Dentist | 6290 Abbotts Bridge Rd Ste 101, Johns Creek, GA 30097-1750 | 2011-11-18 |
| 1629497938 | Thomas James Lagree | Dentist | 3455 Old Alabama Rd, Johns Creek, GA 30022-5526 | 2014-04-15 |
| 1538506720 | Pediatric Dentistry of Johns Creek, LLC | Dentist | 10475 Medlock Bridge Rd, 501, Johns Creek, GA 30097-4433 | 2013-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895002 | Ashley Starnesdmd LLC | Dentist | 5482 Chamblee Dunwoody Rd Ste 9, Dunwoody, GA 30338-4142 | 2020-09-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1366060618 | A Dental Home 4 Kidz | Dentist | 155 Carnegie Pl Ste 201, Fayetteville, GA 30214-3981 | 2020-07-13 |
| 1255973566 | Rehoboth Life Care Ministries, Inc | Dentist | 3208 Hwy 41, Byron, Byron, GA 31008 | 2019-10-09 |
| 1629619200 | Peachtree Hills Pediatric Dentistry | Dentist | 2385 Peachtree Rd Ne Ste A2ab, Atlanta, GA 30305-4139 | 2019-10-04 |
| 1871145557 | Dogwood Pediatric Dentistry of Statesboro, LLC | Dentist | 123 Hill Pond Ln, Statesboro, GA 30458-0872 | 2019-07-12 |
| 1952969396 | Ns3 Services, LLC | Dentist | 1039 Grant St Se Ste B11, Atlanta, GA 30315-2050 | 2019-05-31 |
| 1871050872 | Warner Robins Pediatric Dentistry LLC | Dentist | 102 S Houston Rd, Warner Robins, GA 31088-3904 | 2019-02-26 |
| 1730646886 | Smiles for Kids Norcross PC | Dentist | 3953 Holcomb Bridge Rd Ste 100, Peachtree Corners, GA 30092-5201 | 2019-02-25 |
| 1073083127 | Pediatric Dentistry of Central Georgia - Macon LLC | Dentist | 5437 Bowman Rd Ste 300, Macon, GA 31210-6575 | 2018-12-03 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.