Jillian Hicks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010922 Issued in GA

Practice address

1568 Spring Hollow Way
Stone Mountain, GA 30083-1333

Phone

(678) 654-1869

NPI assigned

Jun 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christian Care of Georgia LLC

  • Nursing Care Agency
  • Atlanta, GA
  • NPI 1487368999
  NPD Authorized official
• Georgia Medical Speech Pathology Group

  • Speech-Language Pathologist
  • Stone Mountain, GA
  • NPI 1750084133
  NPD Authorized official
• The Atlanta Medical Speech Pathology Group

  • Hearing and Speech Clinic/Center
  • Stone Mountain, GA
  • NPI 1265008106
  NPD Authorized official

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1740639350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 SPRING HOLLOW WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831333",
            "telephone_number": "678-654-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 SPRING HOLLOW WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831333",
            "telephone_number": "678-654-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-12-14",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010922",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1610271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marie Henry
• Christopher Lamar Herans
• Heritage Medical House Call
• Whitney Hermonstine, LMSW
• William Jordan Herrin
• Hidden Oasis Counseling LLC
• Kyanna Marie Highsmith
• Shaq S Hill-Lofton
• Dale Andrea Hinton
• Nilusha Hirani

• Speech-Language Pathologist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.