Cullen Covington Hicks, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102444 Issued in NC

Practice address

15 Yorkshire St Ste 201
Asheville, NC 28803-7785

Phone

(828) 274-1600

Fax

(828) 274-1603

NPI assigned

Feb 20, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1316082233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YORKSHIRE ST STE 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037785",
            "telephone_number": "828-274-1600",
            "fax_number": "828-274-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 YORKSHIRE ST STE 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037785",
            "telephone_number": "828-274-1600",
            "fax_number": "828-274-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON HICKS",
        "first_name": "CULLEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "102444",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Buncombe Office of Accountant (Buncombe County EMS)
• Cournoyer Chiropractic PC
• Jordan Emile Courtain
• Courtyard Rehabilitation and Nursing Center, LLC (Courtyard Rehabilitation and Nursing Center)
• Jeanette Baker Covel, LCMHCA
• Marie Cowan
• Thomas William McKim Cowan, MD
• Steven Coward, ND
• John Cowart, M.S.W.
• Linda C Cowdrey, NURSE PRACTITIONER

• Medical Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.