Individual provider Active NPI

Audrey Hicks, DO

  • Obstetrics & Gynecology Physician
  • Clarksville, TN
National Provider Identifier
1134539646
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3465 Issued in TN
Practice address
1824 Memorial Dr
Clarksville, TN 37043
Phone
(931) 552-6070
Fax
(931) 552-9896
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 3465 TN Primary

Addresses

Primary practice location

1824 Memorial Dr
Clarksville, TN 37043

Mailing address

1824 Memorial Dr
Clarksville, TN 37043-4605
Phone (931) 552-6070

Other practice location 1

500 Northcrest Drive Suite 520
Springfield, TN 37172
Phone (615) 219-6190 ext. 96190

Other practice location 2

740 Middle Creek Rd Ste 200
Sevierville, TN 37862-5056
Phone (865) 908-9888

Other identifiers 1

IdentifierTypeStateIssuer
Q037489MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181008003086 TN Practitioner - Obstetrics/Gynecology 4880812254 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Tennessee, P.C.Group PAC ID 1850566514, 12 clinicians
QCWH PCGroup PAC ID 1658764659, 5 clinicians

Practice addresses (Care Compare)

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (800) 967-2289

751 Chesapeake LN
Clarksville, TN 37040-5263
Phone (931) 538-1823

Hospital & facility affiliations

  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3465TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Tennessee, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 9, 2026 Accepting new patients
QCWH PC Obstetrics & Gynecology CurrentSince Dec 1, 2021 Accepting new patients
Fort Sanders Perinatal Center CurrentSince Mar 12, 2026 Accepting new patients
Advanced Diagnostic Imaging, PC Obstetrics & Gynecology CurrentSince Jan 9, 2026 Accepting new patients
Diana Health TN, PC Obstetrics & Gynecology CurrentSince Mar 13, 2026 Accepting new patients
Leconte Women'S Healthcare Associates, PC Obstetrics & Gynecology CurrentSince Mar 12, 2026 Accepting new patients
Southern Pain Institute PLLC PastSince Dec 1, 2021 Accepting new patients

Locations

751 Chesapeake Ln
#101
Clarksville, TN 37040
Phone (931) 538-1811

751 Chesapeake Ln
Clarksville, TN 37040
Phone (931) 538-1811

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

353 New Shackle Island Rd
Ste 221B
Hendersonvlle, TN 37075
Phone (615) 202-5102

353 New Shackle Island Rd
Ste 341C
Hendersonvlle, TN 37075
Phone (615) 826-1716

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888

300 Northcrest Blvd Ste 302
Springfield, TN 37172

Interoperability endpoints

  • Direct secure messaging: audrey.hicks.1@23211.direct.athenahealth.com
  • Direct secure messaging: audrey.hicks.1@31992.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1134539646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434605",
            "telephone_number": "931-552-6070",
            "fax_number": "931-552-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "931-552-6070",
            "fax_number": "931-552-9896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Northcrest Drive Suite 520",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "37172",
            "country_code": "US",
            "telephone_number": "615-219-6190 x96190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Middle Creek Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625056",
            "country_code": "US",
            "telephone_number": "865-908-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "AUDREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037489",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.