Active NPI
Anjanean Hicks, NP
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN198259
- Practice address
- 2162 Piedmont Rd NE
Atlanta, GA 30224-2317 - Phone
- (770) 209-3663
- NPI assigned
- May 4, 2016
- Last updated
- Jul 6, 2022
- 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 Nurse Practitioner | 363LF0000X | RN198259 | GA | Primary |
Addresses
Primary practice location
2162 Piedmont Rd NE
Atlanta, GA 30224-2317
Mailing address
2162 Piedmont Rd. NE
Atlanta, GA 30324-2317
Phone (707) 209-3663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN198259 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMV Diagnostics | Current | Accepting new patients | |
| Copilotiq, PC | Current | Accepting new patients | |
| TLC of Georgia LLC | Family | Current | Accepting new patients |
Locations
2435 US Highway 19
Ste 300
Holiday, FL 34691
Phone (727) 940-5908
5304 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 940-5908
3343 Peachtree Rd NE
Atlanta, GA 30326
Phone (615) 412-8777
3475 Lenox Rd NE
Ste 400
Atlanta, GA 30326
Phone (404) 601-2394
455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776
4321 Hartley Bridge Rd
Macon, GA 31216
Phone (478) 788-1015
3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
Interoperability endpoints
- https://api.platform.athenahealth.com/22351/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, 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": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1639524002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2162 PIEDMONT RD. NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303242317",
"telephone_number": "707-209-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2162 PIEDMONT RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "302242317",
"telephone_number": "770-209-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ANJANEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2022-07-06",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN198259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"address_1": "2162 Piedmont rd NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "302242317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.