Individual provider Active NPI

Stephen Charles Hicks, D.O.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1700366408
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.2112 Issued in AL
Practice address
3686 Grandview Parkway Suite 820
Birmingham, AL 35243
Phone
(205) 971-3000
Fax
(205) 971-4910
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X L.4796R AL
Family Medicine Physician 207Q00000X DO.2112 AL Primary

Addresses

Primary practice location

3686 Grandview Parkway Suite 820
Birmingham, AL 35243

Mailing address

3686 Grandview Parkway Suite 820
Birmingham, AL 35243
Phone (205) 971-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000715 AL Practitioner - Family Practice 3779989298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

201 Doug Baker Blvd
Hoover, AL 35242-2013
Phone (205) 408-0700

3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444

3686 Grandview Pkwy
Suite 820
Birmingham, AL 35243-3408
Phone (205) 971-3000

5000 Cahaba River Rd
Vestavia, AL 35243-2317
Phone (659) 241-0200

Hospital & facility affiliations

  • Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2112ALMDFamily Medicine Physician
L.4796RALMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Affinity Physician Services LLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 820
Birmingham, AL 35243
Phone (205) 971-3000

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

74 Plaza Dr
Pell City, AL 35125
Phone (205) 814-7272

6725 Deerfoot Pkwy
Pinson, AL 35126
Phone (205) 680-9898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: stephen.hicks.1@9954.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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1700366408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PARKWAY SUITE 820",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-971-3000",
            "fax_number": "205-971-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PARKWAY SUITE 820",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-971-3000",
            "fax_number": "205-971-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4796R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.2112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.