Dorothy E Hicks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1504 Issued in AL

Practice address

503 W College St
Florence, AL 35630-5311

Phone

(256) 767-1779

Fax

(256) 767-1780

NPI assigned

Feb 7, 2006

Last updated

Jan 15, 2021By 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 2

Addresses

Other identifiers 1

Other names 1

• Dottie E Schenk Former name

Medicare fee-for-service enrollment

Enrolled in SD, TX, AL3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Singing River Healthcare, LLC

  • General Practice Physician
  • Florence, AL
  • NPI 1013330216
  Medicare reassignment
• Flandreau Santee Sioux Tribe

  • Adult Day Care Clinic/Center
  • Flandreau, SD
  • NPI 1437188729

  TX

  Medicare reassignment
• Sanford Clinic

  dba Sanford Health Psychiatry & Psychology Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254
  Medicare reassignment
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Sanford Clinic

  dba Sanford 49th and Oxbow Family Medicine

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1780615112
  NPD
• Lister Healthcare Corporation

  dba Tri Cities Health and Wellness

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1437981172
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1396717823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305311",
            "telephone_number": "256-767-1779",
            "fax_number": "256-767-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W COLLEGE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305311",
            "telephone_number": "256-767-1779",
            "fax_number": "256-767-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DOROTHY",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9819",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560079100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOTTIE",
            "last_name": "SCHENK",
            "middle_name": "E",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Nanette Hester, FNP-C
• Hibbett Patient Care (Hibbett Patient Care, LLC)
• Barry Kenneth Hibbett Jr., DMD
• Caitlin Hibbett, CRNP
• Hickory Hills Dental Care LLC
• Sydney Hicks, RN
• Jerad Bryan Hill
• Margaret Dixon Hill
• Pamela J Hill, CRNP
• Hill's Helping Hands

• Physician Assistant in Florence, AL
• Providers in Florence, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.