Active NPI
William Luke Hickman, P.A.
- Physician Assistant
- Washington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 169518
- Practice address
- 1730 Carolina Ave
Washington, NC 27889-3315 - Phone
- (252) 946-2171
- Fax
- (252) 946-5986
- NPI assigned
- Mar 15, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 169518 | NC | Primary |
Addresses
Primary practice location
1730 Carolina Ave
Washington, NC 27889-3315
Mailing address
PO Box 117594
Atlanta, GA 30368-7594
Phone (888) 856-1878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1503 N Rd St
Elizabeth City, NC 27909-3243
Phone (252) 335-5446
1730 Carolina Ave
Washington, NC 27889-3315
Phone (252) 946-2171
2511 N Queen St
Kinston, NC 28501-1632
Phone (252) 335-5446
3524 N Croatan Hwy
Kitty Hawk, NC 27949-9204
Phone (252) 335-5446
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.35 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 64.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169518 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Eye Center, PLLC | Current | Accepting new patients | |
| Albemarle Eye Center, PLLC | Past | Accepting new patients | |
| Lumberton Emergency Physicians | Past | Accepting new patients | |
| Lumberton Emergency Medical Associates PC | Past | Accepting new patients |
Locations
101 Mark Dr
Edenton, NC 27932
Phone (252) 482-7471
1503 N Road St
Elizabeth Cty, NC 27909
Phone 25233554462237
2511 N Queen St
Kinston, NC 28501
Phone (252) 522-1611
3524 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 441-3163
1730 Carolina Ave
Washington, NC 27889
Phone (252) 946-2171
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.
-
dba Precision Optical
- Ophthalmology Physician
- Elizabeth City, NC
- NPI 1528007507
-
- Urgent Care Clinic/Center
- Washington, NC
- NPI 1154721272
-
- Ophthalmology Physician
- Chesapeake, VA
- NPI 1083232854
-
- Durable Medical Equipment & Medical Supplies
- Washington, NC
- NPI 1336432301
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1326337163
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1902049232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1891094967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117594",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687594",
"telephone_number": "888-856-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 CAROLINA AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893315",
"telephone_number": "252-946-2171",
"fax_number": "252-946-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "WILLIAM",
"middle_name": "LUKE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-15",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "169518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.