Edward Dickson Hicks VI, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC006341 Issued in GA

Practice address

4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6521

Phone

(770) 858-5377

Fax

(770) 800-8164

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arun K Kantamneni MD, Inc.

  • Psychiatry Physician
  • Villa Rica, GA
  • NPI 1922491695
  Medicare reassignment NPD
• Bridgepoint Clinic

  dba Bridgepoint

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1396464483
  NPD

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1861064644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 ATLANTA RD SE STE 120",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806521",
            "telephone_number": "770-858-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 ATLANTA RD SE STE 120",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806521",
            "telephone_number": "770-858-5377",
            "fax_number": "770-800-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "EDWARD",
        "middle_name": "DICKSON",
        "name_prefix": "Mr.",
        "name_suffix": "VI",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Hernandez, RDH
• Deletha Hernton, LACTATION CONSULTANT
• Isabella Maloney Herrero, DMD
• Caitlin M Hesse, DPT
• Sabrina Hickle, PH.D.
• Caitlin Higgins, CNS
• Jayme Renee' Higgins, ATC
• Highland Rivers Behavior Health (Highland Rivers Health)
• Highlands Anesthesia Associates LLC
• Jared Hill

• Mental Health Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.

Verify at the official NPI Registry.