Individual provider Active NPI

Aaron Hicks, PA-C

  • Adult Medicine Physician
  • The Villages, FL
National Provider Identifier
1689553505
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
9120618 Issued in FL
Practice address
779 Kristine Way
The Villages, FL 32163-0099
Phone
(844) 884-9355
Fax
(352) 674-6030
NPI assigned
Aug 27, 2025
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120618 FL
Adult Medicine Physician 207QA0505X 9120618 FL Primary

Addresses

Primary practice location

779 Kristine Way
The Villages, FL 32163-0099

Mailing address

9848 Crescent Ray Dr
Wesley Chapel, FL 33545-4939
Phone (919) 609-2915

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205001902 FL Practitioner - Physician Assistant 2769975978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

779 Kristine Way
The Villages, FL 32163-0099
Phone (352) 674-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120618FLMDAdult Medicine Physician
PA9120618FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 10, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc CurrentSince Nov 10, 2025 Accepting new patients
Centerwell Senior Primary Care Vitality Inc Current Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1400 N US Highway 441
Ste 930
The Villages, FL 32159
Phone (352) 750-2108

779 Kristine Way
The Villages, FL 32163
Phone (352) 674-1700

Interoperability endpoints

  • Direct secure messaging: aaron.hicks.1@18324.direct.athenahealth.com

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1689553505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 CRESCENT RAY DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454939",
            "telephone_number": "919-609-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 KRISTINE WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321630099",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "AARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120618",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "9120618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.