NPIMap

Individual provider Active NPI

Tracy Hicks, M.D.

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
National Provider Identifier
1033199898
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101051067 Issued in VA
Practice address
13700 St Francis Blvd
Suite 305
Midlothian, VA 23114-3222
Phone
(804) 320-2483
Fax
(804) 419-1860
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101051067 VA Primary

Addresses

Primary practice location

13700 St Francis Blvd
Suite 305
Midlothian, VA 23114-3222

Mailing address

13700 St Francis Blvd
Suite 305
Midlothian, VA 23114-3222
Phone (804) 320-2483

Other identifiers 14

IdentifierTypeStateIssuer
0000133671506OtherUNITED
11938OtherCARENET
94539OtherSOUTHERN HEALTH
C09633OtherVAGROUP PTAN
6201083OtherVA PREMIER
226116OtherANTHEM
541941044102OtherTRICARE
160049264OtherRR MEDICARE
330713OtherMAMSI
69493OtherOPTIMA HEALTH
006201083MedicaidVA
69493OtherSENTARA
9276110OtherCIGNA
0861892OtherAETNA USHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000722 VA Practitioner - Obstetrics/Gynecology 3779607569 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

13700 St Francis Blvd
Suite 302
Midlothian, VA 23114-3222
Phone (804) 281-8303

13710 St Francis Blvd
Midlothian, VA 23114-3267

1510 N 28TH St
Richmond, VA 23223-5311

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101051067VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Mary'S Hospital of Richmond LLC CurrentSince Sep 23, 2017 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Jul 10, 2019 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Bayview Physician Services, PC Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince May 27, 2023 Accepting new patients
Bayview Physician Services, PC CurrentSince Apr 1, 2022 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Sep 23, 2017 Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Obstetrics & Gynecology Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients

Locations

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

13710 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

13700 St Francis Blvd
Midlothian, VA 23114
Phone (804) 320-2483

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13700 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

1401 Johnston Willis Dr
Ste 5000
North Chesterfield, VA 23235
Phone (804) 267-6931

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: tracy.hicks.2@8042.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405
  • Direct secure messaging: thicks1151982@direct.bsmhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1033199898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 305",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-320-2483",
            "fax_number": "804-419-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 305",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-320-2483",
            "fax_number": "804-419-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101051067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0000133671506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARENET",
            "identifier": "11938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "94539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "6201083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "226116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541941044102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160049264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "330713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "69493",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006201083",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "69493",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9276110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTH",
            "identifier": "0861892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.