Active NPI
Daniel D Hickman, M.D.
- Family Medicine Physician
- Pace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME76070
- Practice address
- 3754 Highway 90
Suite 200
Pace, FL 32571-1020 - Phone
- (850) 416-5200
- Fax
- (850) 416-5201
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME76070 | FL | Primary |
Addresses
Primary practice location
3754 Highway 90
Suite 200
Pace, FL 32571-1020
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254249800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3754 Hwy 90
Pace, FL 32571-1098
4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000
4501 N Davis Hwy
Suite C
Pensacola, FL 32503-2724
Phone (850) 416-4960
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health
- Sacred Heart Hospital
- Baptist Hospital
- Santa Rosa Medical Center
- D W McMillan Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Family Medicine | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
3754 Highway 90
Ste 200
Pace, FL 32571
Phone (850) 416-5200
4435 Highway 90
Pace, FL 32571
Phone (850) 304-0390
5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
Interoperability endpoints
- daniel.hickman.1@9582.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pensacola, FL
- NPI 1679685085
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- Home Health Agency
- Pensacola, FL
- NPI 1437100450
-
- General Acute Care Hospital
- Brewton, AL
- NPI 1609811538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1487608113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 HIGHWAY 90",
"address_2": "SUITE 200",
"city": "PACE",
"state": "FL",
"postal_code": "325711020",
"telephone_number": "850-416-5200",
"fax_number": "850-416-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "DANIEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME76070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254249800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.