Active NPI
Elizabeth Daly Hicks, MD
- Pediatrics Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101264958
- Practice address
- 2301 Erwin Rd
Durham, NC 27705-4699 - Phone
- (919) 681-8111
- NPI assigned
- Apr 19, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101264958 | VA | Primary |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27705-4699
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 681-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264958 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| Children's Hospital | Pediatrics | Current | Accepting new patients |
| Children's Hospital | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Pediatrics | Current | Accepting new patients |
| Children's Hospital | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
606 E Stuart Dr
Galax, VA 24333
Phone (276) 236-8166
961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931
Organizations & group practices 6
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
dba Twin County Sleep Center
- Sleep Medicine (Psychiatry & Neurology) Physician
- Galax, VA
- NPI 1962078527
-
dba Children's National Specialty Pharmacy
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
dba Children's National Medical Associates
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
dba Twin County Obstetrics & Gynecology
- Surgery Physician
- Galax, VA
- NPI 1033485925
-
dba Pediatric Family Care Center
- Pediatrics Physician
- Galax, VA
- NPI 1619243300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1710374608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-681-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-681-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ELIZABETH",
"middle_name": "DALY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-19",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101264958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.