Individual provider Active NPI

Kristin Marie Ates Hicks, MD, PHD

  • Ophthalmology Physician
  • Mobile, AL
National Provider Identifier
1447837091
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.50610 Issued in AL
Practice address
601 Providence Park Dr E
Mobile, AL 36695-4617
Phone
(251) 990-3937
Fax
(251) 990-9990
NPI assigned
Mar 28, 2021
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.50610 AL Primary

Addresses

Primary practice location

601 Providence Park Dr E
Mobile, AL 36695-4617

Mailing address

411 N Section St
Fairhope, AL 36532-2649
Phone (251) 990-3937

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710000981 AL Practitioner - Ophthalmology 6507263597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Eyes Cataract and Laser Center IncGroup PAC ID 0547206765, 18 clinicians

Practice addresses (Care Compare)

411 N Section St
Fairhope, AL 36532-2649
Phone (251) 990-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Eyes Cataract and Laser Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Southern Eye Group of Alabama, LLC Ophthalmology Past Accepting new patients

Locations

166 Lindberg Ave
Atmore, AL 36502
Phone (251) 368-8767

411 N Section St
Fairhope, AL 36532
Phone (251) 517-5027

1624 N McKenzie St
Foley, AL 36535
Phone (251) 943-3937

3290 Dauphin St
Ste 500
Mobile, AL 36606

601 Providence Park Dr E
Mobile, AL 36695
Phone (251) 650-2020

75 Shell St
Saraland, AL 36571

Interoperability endpoints

  • Direct secure messaging: kahicks@segal.intellechartdirect.net

Organizations & group practices 2

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1447837091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322649",
            "telephone_number": "251-990-3937",
            "fax_number": "251-990-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROVIDENCE PARK DR E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954617",
            "telephone_number": "251-990-3937",
            "fax_number": "251-990-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATES HICKS",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.50610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.