Benjamin L Hicks, PAA
Individual provider Active NPI Anesthesiologist Assistant · Albany, GA
NPI 1184961963 · NPPES record last updated Jan 14, 2013
Key facts
- NPI
- 1184961963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 006693 (GA)
- Practice address
- 417 W 3Rd Ave
Albany, GA 31701-1943 - Phone
- (229) 439-9400
- Fax
- (229) 436-3718
- NPI assigned
- Jan 14, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Emory University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130207000437 | GA | Practitioner - Anesthesiology Assistant | 2163676784 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006693 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Senior Center | Current |
Accepting new patients | |
| Emory Specialty Associates, LLC | Current |
Accepting new patients | |
| New London Anesthesia & Pain Consultants PC | Anesthesiologist Assistant | Current |
Accepting new patients |
| Phoebe Physician Group, Inc | Current |
Accepting new patients | |
| Premier Anesthesia of Georgia LLC | Anesthesiologist Assistant | Current |
Accepting new patients |
| The Emory Clinic Inc | Current |
Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2740 Ray Knight Way
Ste 200
Albany, GA 31707
Phone (229) 312-0698
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 006693 | GA | Yes |
Addresses
Primary practice location
417 W 3Rd Ave
Albany, GA 31701-1943
Mailing address
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 439-9400
Other providers in Albany, GA
- Heritage Health Career Center
- Miguel R Hernandez
- Heros for Success
- Kelsey Hester
- Thomas Heyer
- Toreka Hicks
- Toni Michael Higdon
- Allison J Hightower
- Nekeshia Hightower
- Michael J Hill
All providers in Albany, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.