Active NPI
Nance D Hicks, D0
- Family Medicine Physician
- Granbury, TX
National Provider Identifier
1588656409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R2620
- Practice address
- 100 Gateway Hills LN
Granbury, TX 76049-7846 - Phone
- (817) 383-4566
- Fax
- (817) 359-3675
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
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 | R2620 | TX | Primary |
Addresses
Primary practice location
100 Gateway Hills LN
Granbury, TX 76049-7846
Mailing address
1710 Keller Pkwy # 1685
Keller, TX 76248-3749
Phone (817) 383-4566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3975 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDavid M. Mahaffey, M.D., P.a. | Family Medicine | Past | Accepting new patients |
| True Med Direct, PLLC | Past | Accepting new patients | |
| Gemini Medical Group Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- drhicks@direct.meditouchehr.com
- nance.hicks.1@24667.direct.athenahealth.com
- https://api.platform.athenahealth.com/24667/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Granbury, TX
- NPI 1639097876
-
- Family Medicine Physician
- Cleburne, TX
- NPI 1427726587
-
- Family Medicine Physician
- Bartlesville, OK
- NPI 1821052473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1588656409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 KELLER PKWY # 1685",
"city": "KELLER",
"state": "TX",
"postal_code": "762483749",
"telephone_number": "817-383-4566",
"fax_number": "817-259-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GATEWAY HILLS LN",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760497846",
"telephone_number": "817-383-4566",
"fax_number": "817-359-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "NANCE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D0",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R2620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.