Christopher Michael Hicks, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET002689 Issued in GA

Practice address

502 E General Stewart Way Ste C
Hinesville, GA 31313-2643

Phone

(912) 320-4737

Fax

(888) 977-3418

NPI assigned

May 21, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Donovan Rehab

  • Speech-Language Pathologist
  • Hinesville, GA
  • NPI 1043558158
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1316438856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 WILDWOOD CHURCH RD",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "313215632",
            "telephone_number": "912-667-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E GENERAL STEWART WAY STE C",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132643",
            "telephone_number": "912-320-4737",
            "fax_number": "888-977-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET002689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Herrera, LPN
• Davey Donald Herring, M.D.
• Bobby Louis Herrington, MD
• Joseph Richard Herzog, LCSW
• Jonathan Heslep, APRN
• Lori Highlander
• Melissa Ann Hilimire, APC
• Katrina Joy Hill
• Hailey Hinderman, RBT
• Hinesite Community Services LLC

• Speech-Language Pathologist in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.