Individual provider Active NPI

Demetric Childs-Hicks, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1396168985
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-089829 Issued in AL
Practice address
2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone
(855) 212-2273
Fax
(629) 240-6003
NPI assigned
Feb 2, 2014
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-089829 AL Primary

Addresses

Primary practice location

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733

Mailing address

5410 Maryland Way Ste 400
P.O. Box 2213
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

228 Selma Ave
Post Office Box 2213
Selma, AL 36701-5825
Phone (334) 874-7428 ext. 129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20141018000190 AL Practitioner - Nurse Practitioner 8628299567 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-089829ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Monogram Health Professional Services PC CurrentSince Feb 18, 2026 Accepting new patients
Rural Health Medical Program, Inc CurrentSince Jul 20, 2014 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Monogram Health Professional Services PC CurrentSince Feb 18, 2026 Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Jul 20, 2014 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

101 Park Pl
Selma, AL 36701
Phone (334) 526-2200

228 Selma Ave
Selma, AL 36701
Phone (334) 877-1490

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1396168985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "address_2": "P.O. BOX 2213",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "855-212-2273",
            "fax_number": "629-240-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Selma Ave",
            "address_2": "Post Office Box 2213",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367015825",
            "country_code": "US",
            "telephone_number": "334-874-7428 x129",
            "fax_number": "334-874-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS-HICKS",
        "first_name": "DEMETRIC",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-089829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.