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

Last updated

Jul 10, 2026By the provider in NPPES

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

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 46)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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 NPD
• 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
• Apex Prime Health Solutions LLC

  • Rural Health Clinic/Center
  • Hattiesburg, MS
  • NPI 1942151188
  NPD (past)
• 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)

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

• Forrest County General Hospital

  dba Perry County Rural Emergency Hospital (REH)

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

  dba Greene County Hospital

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

  dba VitalCaring Group

  • 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": "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"
        },
        {
            "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"
        }
    ],
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Greene Rural Health Center (Greene Family Medical Clinic)
• 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.