Individual provider Active NPI

Julie Palbykin Hicks, M.D.

  • Family Medicine Physician
  • Evans, GA
National Provider Identifier
1306889068
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047221 Issued in GA
Practice address
447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone
(706) 854-2222
Fax
(706) 854-2223
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 047221 GA
Family Medicine Physician 207Q00000X 047221 GA Primary

Addresses

Primary practice location

447 N Belair Rd Ste 101
Evans, GA 30809-3091

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone (706) 828-8049

Other practice location 2

4720 Washington Rd
Evans, GA 30809-3091
Phone (706) 650-0111

Other identifiers 3

IdentifierTypeStateIssuer
P00255610OtherTNRAILROAD MEDICARE
L27905MedicaidSC
000467519AMedicaidGA

Other names 1

  • Julie K Palbykin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050801000763 GA Practitioner - Emergency Medicine 0345278362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047221GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Care Physicians LLC Emergency Medicine Current Accepting new patients
University Medical Group LLC Family Medicine Current Accepting new patients
University Prompt Care Current Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine Past Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1306889068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093091",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JULIE",
        "middle_name": "PALBYKIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "047221",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255610",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L27905",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000467519A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "PALBYKIN",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.