Individual provider Active NPI

Reaghan Angel Hicks, M.D.

  • Psychiatry Physician
  • Aiken, SC
National Provider Identifier
1679969240
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
82402 Issued in SC
Practice address
900 Trail Ridge Rd FL 1
Aiken, SC 29803-7765
Phone
(917) 634-5311
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 330886-01 NY
Psychiatry Physician 2084P0800X A-197142 CA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 82402 SC Primary
Psychiatry Physician 2084P0800X ME133722 FL

Addresses

Primary practice location

900 Trail Ridge Rd FL 1
Aiken, SC 29803-7765

Mailing address

10 Hospital Center CMNS Ste 400
Hilton Head Island, SC 29926-2849
Phone (917) 634-5311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address reaghan.hicks@talkiatry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL, NY, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211110002614 SC Practitioner - Psychiatry 7517276264 Reassigns benefits to 1 organization
I20240513002394 FL Practitioner - Psychiatry 7517276264 Reassigns benefits to 1 organization
I20240705001014 NY Practitioner - Psychiatry 7517276264 Reassigns benefits to 1 organization
I20240802001929 CA Practitioner - Psychiatry 7517276264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

10 Hospital Ctr CMNS
Suite 400
Hilton Head Island, SC 29926-2849
Phone (833) 351-8255

1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-197142CAMDPsychiatry Physician
330886-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jun 24, 2024 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jun 24, 2024 Accepting new patients
MCCD Ca Psychiatry Services PC Psychiatry CurrentSince Jun 25, 2024 Accepting new patients

Locations

100 Pine St
Ste 1250
San Francisco, CA 94111
Phone (415) 390-5445

1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040

1301 Riverplace Blvd
Jacksonville, FL 32207

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

900 Trail Ridge Rd
Fl 1
Aiken, SC 29803
Phone (803) 233-2882

10 Hospital Center Cmns
Ste 400
Hilton Head Island, SC 29926

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1679969240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL CENTER CMNS STE 400",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262849",
            "telephone_number": "917-634-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 TRAIL RIDGE RD FL 1",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037765",
            "telephone_number": "917-634-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "REAGHAN",
        "middle_name": "ANGEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "330886-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A-197142",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "82402",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME133722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reaghan.hicks@talkiatry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Hospital Center Cmns Ste 400",
            "city": "Hilton Head Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299262849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.