Jonathan C Hicklin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17919 Issued in SC

Practice address

1565 Ebenezer Rd
Rock Hill, SC 29732-1806

Phone

(803) 328-0168

Fax

(803) 325-8473

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Merit-based Incentive Payment System (MIPS)

Final score

91.48 of 100Reported as group

Quality

91.19

Improvement activities

40

Cost

83.33

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1811970478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321806",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321806",
            "telephone_number": "803-328-0168",
            "fax_number": "803-325-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLIN",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "17919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T21544",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Imre Herrforth, MD
• Rayna Joyce Hervis
• Carolyn Hice, PHYSICIAN ASSISTANT
• Hicklin & Associates Consulting Group LLC
• Harry Eugene Hicklin III, M.D.
• Josephine Sullivan Hicklin, D.P.T.
• Kia Catoe Hicklin
• Leland Hicklin
• Bevelyn Hicks
• Molly M Hicks, AUD

• Ophthalmology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.