Jason Burl Hicks (NPI# 1023034097, PAC ID# 9436156551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023034097 |
| PAC ID by PECOS | 9436156551 |
| Professional Enrollment ID | I20061103000062 |
| Full Name | Jason Burl Hicks |
| Organization Legal Name | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES |
| Address |
6919 Old Canton Rd Ridgeland MS 39157-1268 |
| Phone Number | 6019560911 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1052318177 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 6019560911 | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 34% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 66% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 8% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 34% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 37% |
| Organization Legal Name | INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Webster | Nurse Practitioner | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Manisha Sethi | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Street Address |
6919 OLD CANTON RD |
| City | RIDGELAND |
| State | MS |
| Zip | 39157-1268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Webster | Nurse Practitioner | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Manisha Sethi | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monique Thompson | Physical Therapy | 7048 Old Canton Rd, Suite 1000, Ridgeland, MS 39157-1008 | |
| Joshua C Massey | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Julie B Dawson | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Anh M Giang | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Michael J Phillips | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Dominique R Chagnon | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Gary F Demott | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Philip Ivanov | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Leo C Huddleston | Chiropractic | 6500 Old Canton Rd, Ridgeland, MS 39157-1313 | |
| Adam R Crawford | Optometry | Crawford Eye Care | 301 Northlake Ave, Suite 101, Ridgeland, MS 39157-1720 |
| Find all physicians in zip 39157 | |||
| City | RIDGELAND |
| Zip Code | 39157 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RIDGELAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jason Burl Hicks.
| 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.