Holly Hicks-deridder (NPI# 1578641627, PAC ID# 5698944718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1578641627 |
PAC ID by PECOS | 5698944718 |
Professional Enrollment ID | I20110808000119 |
Full Name | Holly Hicks-deridder |
Organization Legal Name | PIEDMONT MEDICAL CARE CORPORATION |
Address |
110 Oak Hill Blvd Suite 200 Newnan GA 30265-2313 |
Phone Number | 7703040987 |
Gender | F |
Graduation Year | 1982 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6002802220 |
Number of Group Practice Members | 227 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110229 | PIEDMONT NEWNAN HOSPITAL, INC |
110083 | PIEDMONT HOSPITAL |
Address | Phone | Organization |
---|---|---|
105 Collier Rd, Suite 2070, Atlanta, GA 30309-1734 | 4043503860 | PIEDMONT MEDICAL CARE CORPORATION |
110 Oak Hill Blvd, Suite 200, Newnan, GA 30265-2313 | 7703040987 | PIEDMONT MEDICAL CARE CORPORATION |
Organization Legal Name | PIEDMONT MEDICAL CARE CORPORATION |
Physicians | 230 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yvonne Ukwu | Internal Medicine | Piedmont Medical Care Corporation | 3699 Cascade Swrd, B2, Atlanta, GA 30331-2163 |
Hayden Koehler Aaron | Family Medicine | Piedmont Medical Care Corporation | 6115 Peachtree Dunwoody Rd, Suite 350, Sandy Springs, GA 30328-4522 |
Kristin Leann Nation | Nurse Practitioner | Piedmont Medical Care Corporation | 61 Robinson Lake Rd, Newnan, GA 30265-6275 |
Bernadette Sikes Wood | Internal Medicine | Piedmont Medical Care Corporation | 3925 Peachtree Rd Nw, Suite 300, Atlanta, GA 30319-5258 |
Diondra Burney Atoyebi | Family Medicine | Piedmont Medical Care Corporation | 2161 W Spring St, Suite A, Monroe, GA 30655-3196 |
Christina Leigh Sellers | Nurse Practitioner | Piedmont Medical Care Corporation | 1314 Concord Serd, Smyrna, GA 30080-4361 |
Neetu Pannala-lakshma Reddy | Internal Medicine | Piedmont Medical Care Corporation | 220 Jl White Dr, Suite 100, Jasper, GA 30143-4984 |
Lacey Hutchinson | Family Medicine | Piedmont Medical Care Corporation | 3020 Paces Mill Serd, Atlanta, GA 30339-3744 |
Vicky L Johnson | Nurse Practitioner | Piedmont Medical Care Corporation | 1910 Hwy 20 Se, Suite 270, Conyers, GA 30013-2082 |
Kristin Hunter | Nurse Practitioner | Piedmont Medical Care Corporation | 174 Highland Xing, East Ellijay, GA 30540-6058 |
Street Address |
110 OAK HILL BLVD SUITE 200 |
City | NEWNAN |
State | GA |
Zip | 30265-2313 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marie J Cauvin | Family Medicine | Piedmont Medical Care Corporation | 110 Oak Hill Blvd, Suite 200, Newnan, GA 30265-2313 |
Maria A Goyco | Family Medicine | Piedmont Medical Care Corporation | 110 Oak Hill Blvd, Suite 200, Newnan, GA 30265-2313 |
William Eanes Courson | Family Medicine | Piedmont Medical Care Corporation | 110 Oak Hill Blvd, Suite 200, Newnan, GA 30265-2313 |
Kimberly A Edwards-hall | Internal Medicine | Piedmont Medical Care Corporation | 110 Oak Hill Blvd, Suite 200, Newnan, GA 30265-2313 |
Fatima A Dalwai | Family Medicine | Piedmont Medical Care Corporation | 110 Oak Hill Blvd, Suite 200, Newnan, GA 30265-2313 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janeann Lee | Qualified Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
Sydney Adams Cowing | Qualified Audiologist | James G. Burson, Md, LLC | 2080 Newman Crossing Blvd, Ste200, Newman, GA 30265 |
Kimberly Campbell | Nurse Practitioner | Piedmont Medical Care Corporation | 1825 Hwy 34 E, Suite 3000, Newnan, GA 30265 |
Amy Rebecca Jeffries | Optometry | Amy Jeffries, O.d., P.C. | 3150 Hwy 34 E, Suite 306, Newnan, GA 30265 |
Sean M Miles | Family Medicine | 1605 Hwy 34 E, A2, Newnan, GA 30265 | |
James G Burson | Otolaryngology | James G. Burson, Md, LLC | 2080 Newman Crossing Blvd, Ste200, Newman, GA 30265 |
Anisha Patel | Ophthalmology | Amy Jeffries, O.d., P.C. | 3150 Hwy 34 E, Suite 306, Newnan, GA 30265 |
Shawnte M Hall-kraft | Family Medicine | Piedmont Medical Care Corporation | 1825 Hwy 34 E, Suite 3000, Newnan, GA 30265 |
Cynthia J Mcdonald | Physician Assistant | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
Jennifer Pound | Audiologist | Milton Hall Surgical Associates, LLC | 1595 E Hwy 34, Newnan, GA 30265 |
Find all physicians in zip 30265 |
City | NEWNAN |
Zip Code | 30265 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | NEWNAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Holly Hicks-deridder.
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.