Individual provider Active NPI

William J Hicks, M.D.

  • Specialist
  • Huntsville, AL
National Provider Identifier
1710090071
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00011148 Issued in AL
Practice address
303 Williams Ave SW
Suite 1511
Huntsville, AL 35801-6012
Phone
(256) 533-5856
Fax
(256) 533-7880
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00011148 AL Primary

Addresses

Primary practice location

303 Williams Ave SW
Suite 1511
Huntsville, AL 35801-6012

Mailing address

303 Williams Ave SW
Suite 1511
Huntsville, AL 35801-6012
Phone (256) 533-5856

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
I20061028000041 AL Practitioner - Internal Medicine 5597762849 Reassigns benefits to 1 organization
Practice locations: Huntsville, AL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Williams Swave
Suite 1511
Huntsville, AL 35801-6000
Phone (256) 533-5856

Hospital & facility affiliations

  • Huntsville Hospital Homecare Home health agency, Huntsville, AL, CCN 017119
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Madison Manor Nursing Home Nursing home, Madison, AL, CCN 015214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00011148ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physicians Network Specialist CurrentSince Jul 1, 2020 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients
Madison Manor Nursing Home LLC Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

Networks

  • bcbs alabama network 01C0
  • bcbs alabama network 01A0
  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0

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 3

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1710090071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW",
            "address_2": "SUITE 1511",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-533-5856",
            "fax_number": "256-533-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE SW",
            "address_2": "SUITE 1511",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-533-5856",
            "fax_number": "256-533-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.