Individual provider Active NPI

William Luke Hickman, P.A.

  • Physician Assistant
  • Washington, NC
National Provider Identifier
1891094967
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
169518 Issued in NC
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

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000773 NC Practitioner - Physician Assistant 2961686407 Reassigns benefits to 2 organizations

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
Albemarle Eye Center PLLCGroup PAC ID 4981696499, 7 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
64.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
169518NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Eye Center, PLLC CurrentSince Jan 28, 2014 Accepting new patients
Albemarle Eye Center, PLLC PastSince Oct 6, 2024 Accepting new patients
Lumberton Emergency Physicians Past Accepting new patients
Lumberton Emergency Medical Associates PC PastSince Oct 1, 2023 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.

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

Verify at the official NPI Registry.