Hicks Gynecology PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

9855 Issued in MS

Legal business name

HICKS GYNECOLOGY PC

Practice address

122 E Academy St
Canton, MS 39046-4502

Phone

(601) 421-5211

Fax

(601) 407-9774

NPI assigned

May 4, 2018

Last updated

May 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer O Hicks, MD

Title

Owner

Phone

(601) 421-5211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1194214288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E ACADEMY ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464502",
            "telephone_number": "601-421-5211",
            "fax_number": "601-407-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E ACADEMY ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464502",
            "telephone_number": "601-421-5211",
            "fax_number": "601-407-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-421-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "9855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Harrington, OT
• Devetta Harris
• Healthy You Medical Clinic LLC
• Hess Hembree IV, CO-PRESIDENT
• Addie Parks Herrod, CFNP
• Hicks Healthcare Center for Women
• Jennifer O Hicks, M.D.
• Quiana Hicks
• Erika Chonell Hill
• Jeffrey Paul Hodges, PT, ATC

• Obstetrics & Gynecology Physician in Canton, MS
• Providers in Canton, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.