Active NPI
Justin Paul Hicks, D.O.
- Cardiovascular Disease Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2021-03177
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-6674
- Fax
- (336) 716-9188
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2021-03177 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674
Other practice location 1
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Other practice location 2
3521 Graystone Pl SE Ste 202
Conover, NC 28613-8269
Phone (828) 326-2354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Cardiovascular Disease (Cardiology)
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3511 Graystone PL SE
Conover, NC 28613-8201
Phone (828) 732-5600
50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Hospital & facility affiliations
- Catawba Valley Medical Center
- North Carolina Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Past | Accepting new patients |
Locations
200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377
3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- justin.hicks@cvmg.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Family Medicine Physician
- Catawba, NC
- NPI 1790062362
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Registered Nurse
- Hickory, NC
- NPI 1598863433
-
- Ambulatory Surgical Clinic/Center
- Hickory, NC
- NPI 1659267359
-
- Cardiovascular Disease Physician
- Conover, NC
- NPI 1750659488
-
- Family Medicine Physician
- Sherrills Ford, NC
- NPI 1326325994
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1629458658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-6674",
"fax_number": "336-716-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-6674",
"fax_number": "336-716-9188"
}
],
"practiceLocations": [
{
"address_1": "810 Fairgrove Church Rd",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286029617",
"country_code": "US",
"telephone_number": "828-326-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3521 Graystone Pl SE Ste 202",
"address_purpose": "LOCATION",
"city": "Conover",
"state": "NC",
"postal_code": "286138269",
"country_code": "US",
"telephone_number": "828-326-2354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "JUSTIN",
"middle_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2021-03177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.