John Trimmer Hicks, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

15159 Issued in SC

Practice address

917 Bypass 225 S
Greenwood, SC 29646-8025

Phone

(864) 953-8002

Fax

(864) 953-9690

NPI assigned

Dec 19, 2005

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Greenwood Regional Rheumatology Center PA

  • Rheumatology Physician
  • Greenwood, SC
  • NPI 1811174279
  NPD Authorized official
• Piedmont Neurology

  • Neurology Physician
  • Greenwood, SC
  • NPI 1851783377
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1104802388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296480427",
            "telephone_number": "864-953-8002",
            "fax_number": "864-953-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BYPASS 225 S",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468025",
            "telephone_number": "864-953-8002",
            "fax_number": "864-953-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JOHN",
        "middle_name": "TRIMMER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "15159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "571122060",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3287",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Herndon, LPN
• Jennifer Lynn Hershberger, M.D.
• Mary Boone Hester, SCHOOL PSYCHOLOGIST
• Aubrey Susanne Hestir, PA-C
• Arlene Adrienne Hicklin, AUD
• Dinesia Hickson
• Krystyna Kuchinski Hidde, PA-C
• Timothy Higginbotham
• Heather Highsmith, MD
• Brittany Hill

• Rheumatology Physician in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Rheumatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.