Individual provider Active NPI

Arlene Adrienne Hicklin, AUD

  • Audiologist
  • Greenwood, SC
National Provider Identifier
1982031340
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1015 Spring St
Greenwood, SC 29646-3831
Phone
(864) 227-6741
Fax
(864) 229-2082
NPI assigned
Oct 1, 2013
Last updated
Oct 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

1015 Spring St
Greenwood, SC 29646-3831

Mailing address

1015 Spring St
Greenwood, SC 29646-3831
Phone (864) 227-6741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140214000839 SC Practitioner - Qualified Audiologist 9133358161 Reassigns benefits to 1 organization
I20210322000521 GA Practitioner - Qualified Audiologist 9133358161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia OtolaryngologyGroup PAC ID 3173550464, 12 clinicians

Practice addresses (Care Compare)

2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401
Phone (770) 536-4352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3991SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Atlanta Ear Nose & Throat, PC CurrentSince Mar 1, 2021 Accepting new patients
Northeast Georgia Otolaryngology CurrentSince Aug 1, 2025 Accepting new patients
Greenwood Ear Nose and Throat Assoc PA CurrentSince Dec 11, 2013 Accepting new patients
North Atlanta Ear Nose & Throat PC CurrentSince Feb 13, 2023 Accepting new patients
Northside Surgical Professional Services LLC PastSince Feb 13, 2023 Accepting new patients
Northlake Anesthesia Professionals, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

3180 North Point Pkwy
Ste 512
Alpharetta, GA 30005
Phone (678) 679-5070

1235 Friendship Rd
Ste 100
Braselton, GA 30517
Phone (770) 536-4352

2406 Lighthouse Manor Dr
Gainesville, GA 30501
Phone (404) 536-4352

766 Walther Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 237-3000

3915 Johns Creek Ct
Ste 100
Suwanee, GA 30024
Phone (770) 237-3000

1015 Spring St
Greenwood, SC 29646
Phone (864) 227-6741

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1982031340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463831",
            "telephone_number": "864-227-6741",
            "fax_number": "864-229-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463831",
            "telephone_number": "864-227-6741",
            "fax_number": "864-229-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLIN",
        "first_name": "ARLENE",
        "middle_name": "ADRIENNE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.