Alexander Hicks

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD0000059420 Issued in TN

Practice address

1229 Reserve Blvd Ste 200
Spring Hill, TN 37174-3274

Phone

(615) 302-5000

Fax

(615) 302-5006

NPI assigned

Apr 13, 2017

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

East Tennessee State University Quillen College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Levy Dermatology, PCGroup PAC ID 9032263538, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahicks88@hayes.emadirect.md

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

• Levy Dermatology, PC

  • Dermatology Physician
  • Germantown, TN
  • NPI 1508007790

  Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD
• Dr. Adam T Keres LLC.

  • Chiropractor
  • Memphis, TN
  • NPI 1376738351
  NPD (past)
• Southeastern Dermatology Group PA

  dba Dermatology Specialists

  • Dermatology Physician
  • Panama City, FL
  • NPI 1518972231
  NPD (past)

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

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1033643390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLYTHEWOOD DR STE A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "901-238-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 RESERVE BLVD STE 200",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743274",
            "telephone_number": "615-302-5000",
            "fax_number": "615-302-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Medical Center Pkwy Ste K",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292578",
            "country_code": "US",
            "telephone_number": "615-624-5050",
            "fax_number": "615-624-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "MD0000059420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Dental Care of TN, PC (Tanyard Springs Family Dentistry)
• Katherine Emery Heginbottom
• Ashton Hein, CCC-SLP
• Augusta Dunse Henderson, DPM
• Anna M Herring, P.A
• Brandi Renee' Hightower, LAT, ATC
• David Benjamin Hightower, ATC
• Sydney Hill
• Kelly Jo Hodges, PT DPT
• Alison B Hoff

• MOHS-Micrographic Surgery Physician in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• MOHS-Micrographic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.