Charlene Hicks, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901452 Issued in MS

Practice address

70 Edmond LN
Leakesville, MS 39451-5706

Phone

(601) 394-4135

NPI assigned

Mar 1, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Mississippi Rural Health Initiative, Inc.Group PAC ID 2466342605, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Gulfport, MS, CCN 257090
• Perry County General Hospital Hospital, Richton, MS, CCN 250783
• Greene County Hospital Hospital, Leakesville, MS, CCN 250782

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 44)

Interoperability endpoints

• Direct secure messaging: chicks94201@directpatientrecord.com

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.

• Sumrall Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Sumrall, MS
  • NPI 1184694036
  Medicare reassignment Care Compare group NPD
• Ap Med L L C

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1730834458
  Medicare reassignment
• Beaumont Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Beaumont, MS
  • NPI 1831166826
  NPD
• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD
• Brooklyn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1659348076
  NPD (past)
• Hattiesburg High School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1760451777
  NPD (past)
• Hattiesburg Public School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1023087400
  NPD (past)
• Lamar County School Clinic

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1679147847
  NPD (past)
• Lumberton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1164499174
  NPD (past)
• Minor Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1508874769
  NPD (past)
• N R Burger School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1518907054
  NPD (past)
• New Augusta Family Health Center

  • Federally Qualified Health Center (FQHC)
  • New Augusta, MS
  • NPI 1881661874
  NPD (past)

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

• Forrest County General Hospital

  • Rural Acute Care Hospital
  • Richton, MS
  • NPI 1932143989
  Care Compare affiliation
• George County Hospital

  • Critical Access Hospital
  • Leakesville, MS
  • NPI 1275796856
  Care Compare affiliation
• Kare-in-Home Health Services, Inc.

  • Home Health Agency
  • Gulfport, MS
  • NPI 1174527030
  Care Compare affiliation

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1235599515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16285",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046285",
            "telephone_number": "601-318-0669",
            "fax_number": "601-994-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EDMOND LN",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394515706",
            "telephone_number": "601-394-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Weathersby Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394029586",
            "country_code": "US",
            "telephone_number": "601-318-0669",
            "fax_number": "601-994-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 N Main St",
            "address_purpose": "LOCATION",
            "city": "Richton",
            "state": "MS",
            "postal_code": "39476",
            "country_code": "US",
            "telephone_number": "769-213-9588",
            "fax_number": "769-213-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHARLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "697484",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03437726",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greene Rural Health Center
• Greene Rurual Health Center
• Kimberley Gurley, FNP-C
• Laurie Marie Hancock, COMS
• Caron Gibson Henderson, ANP
• Hodges Pharmacy
• Brigett Deonna Horne, PMHNP
• Huff Pharmacy Inc
• Amanda Johnson, PCMHT
• Bridget Keys, FNP

• Family Nurse Practitioner in Leakesville, MS
• Providers in Leakesville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.