Kimberly R Hickman (NPI# 1134310824, PAC ID# 1850475286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134310824 |
| PAC ID by PECOS | 1850475286 |
| Professional Enrollment ID | I20140707001301 |
| Full Name | Kimberly R Hickman |
| Organization Legal Name | PERRY FAMILY PRACTICE LLC |
| Address |
1016 Keith Dr Perry GA 31069-2947 |
| Phone Number | 4789881515 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901042720 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110153 | PERRY HOSPITAL |
| 110069 | HOUSTON MEDICAL CENTER |
| 111310 | MEDICAL CENTER OF PEACH COUNTY, NAVICENT HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1016 Keith Dr, Perry, GA 31069-2947 | 4789881515 | PERRY FAMILY PRACTICE LLC |
| Organization Legal Name | PERRY FAMILY PRACTICE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Lancaster | Nurse Practitioner | Perry Family Practice LLC | 1016 Keith Dr, Perry, GA 31069-2947 |
| Jody S Velie | Family Medicine | Perry Family Practice LLC | 1016 Keith Dr, Perry, GA 31069-2947 |
| Holly Lavender | Nurse Practitioner | Perry Family Practice LLC | 1016 Keith Dr, Perry, GA 31069-2947 |
| Street Address |
1016 KEITH DR |
| City | PERRY |
| State | GA |
| Zip | 31069-2947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Lancaster | Nurse Practitioner | Perry Family Practice LLC | 1016 Keith Dr, Perry, GA 31069-2947 |
| Jody S Velie | Family Medicine | Perry Family Practice LLC | 1016 Keith Dr, Perry, GA 31069-2947 |
| Holly Lavender | Nurse Practitioner | Perry Family Practice LLC | 1016 Keith Dr, Perry, GA 31069-2947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Summerow | Optometry | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | |
| Erin Tapley Burch | Nurse Practitioner | Applecare LLC | 1365 Sam Nunn Blvd D, Perry, GA 31069-2175 |
| Judith F Donnan | Nurse Practitioner | Applecare LLC | 1365 Sam Nunn Blvd D, Perry, GA 31069-2175 |
| Rhonda L Thompson | Optometry | Myeyedr Optometry of Georgia, LLC | 1601 Macon Rd, Perry, GA 31069-2208 |
| Spencer D Shugart | Physical Therapy | 1202 Macon Rd, Perry, GA 31069-2613 | |
| Jackson Craig Patterson | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Shaun Nicholas Price | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Spencer Cory Patterson | Chiropractic | Patterson Chiropractic Clinic | 1304 Macon Rd, Perry, GA 31069-2646 |
| Sarvepall D Jokhai | Podiatry | Foot and Ankle Center of Middle Georgia, LLC | 1040 Morningside Dr, Perry, GA 31069-2904 |
| Jennifer L Johnson | Nurse Practitioner | N.t. Cardiovascular Center | 1117 Morningside Dr, Perry, GA 31069-2905 |
| Find all physicians in zip 31069 | |||
| City | PERRY |
| Zip Code | 31069 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PERRY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly R Hickman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.