DR. KEVIN BERNARD HICKS (NPI# 1982704789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982704789 |
| Entity Type | Individual |
| Full Name | DR. KEVIN BERNARD HICKS |
| Credential | D.O. |
| Practice Address |
6105 Peachtree Dunwoody Rd Ste C115 Atlanta GA 30328-5943 |
| Practice Telephone | 7704810019 |
| Practice Fax Number | 7704810408 |
| Mailing Telephone | 7704810019 |
| Mailing Fax Number | 7704810408 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52959 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530793 | Kevin Hicks | Private Vehicle | 122 N Plains Dr, Petersburg, VA 23805-9110 | 2019-10-23 |
| 1649311648 | Kevin Hicks | Physical Therapist | 121 Cahill Rd Ste 101, Branson, MO 65616-2036 | 2007-02-11 |
| 1427106624 | Kevin Andrew Hicks | Neuromusculoskeletal Medicine & OMM | 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 | 2007-01-06 |
| 1821060419 | Kevin W. Hicks | Optometrist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-02-07 |
| 1750381208 | Kevin L. Hicks | Dentist | 100 Highlands Dr. Suite 209, Lititz, PA 17543 | 2005-07-27 |
| 1073741286 | Kevin Hicks | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2009-06-25 |
| 1689855702 | Kevin Richard Hicks | Case Manager/Care Coordinator | 211 Blanchard, Mountain View, AR 72560-0492 | 2007-11-16 |
| 1730380072 | Kevin Spencer Hicks | Physician Assistant | 700 Ne 87th Ave, Vancouver, WA 98664 | 2007-05-31 |
| 1669490413 | Kevin O. Hicks | Specialist | 113 Nationwide Dr, Lynchburg, VA 24502-4272 | 2006-07-18 |
| 1851346597 | Kevin Howard Hicks | Physical Therapist | 1104 E Grace St, Jasper County Hospital, Rensselaer, IN 47978-3211 | 2006-05-23 |
| Street Address |
6105 PEACHTREE DUNWOODY RD STE C115 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538347398 | Kevin B. Hicks, D.o.,p.c. | Family Medicine | 6105 Peachtree Dunwoody Rd Ste C115, Atlanta, GA 30328-5943 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on DR. KEVIN BERNARD HICKS.
| 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.