Individual provider Active NPI

Harry Eugene Hicklin IV

  • Cardiovascular Disease Physician
  • West Columbia, SC
National Provider Identifier
1467959288
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
94062 Issued in SC
Practice address
2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815
Phone
(803) 744-4900
Fax
(803) 744-4938
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 94062 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815

Mailing address

Wake Forest Baptist Medical Center Gme Office
Winston Salem, NC 27157-0001
Phone (336) 716-5222

Other practice location 1

Wake Forest School Of Medicine One Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-5222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hhicklin191962@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250827000020 SC Practitioner - Cardiovascular Disease (Cardiology) 3274883699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wake Forest University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

2728 Sunset Blvd
Suite 300
West Columbia, SC 29169-4815
Phone (803) 744-4900

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc Cardiovascular Disease CurrentSince Aug 10, 2025 Accepting new patients
Lexington Health Inc CurrentSince Aug 10, 2025 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

3016 Longtown Commons Dr
Ste 300
Columbia, SC 29229

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 300
West Columbia, SC 29169
Phone (803) 744-4940

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1467959288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST MEDICAL CENTER GME OFFICE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD STE 300",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694815",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wake Forest School Of Medicine One Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKLIN",
        "first_name": "HARRY",
        "middle_name": "EUGENE",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "94062",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhicklin191962@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 300",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.