WILLIAM LESLIE HICKERSON MD
NPI 1033209606
Surgery - Plastic and Reconstructive Surgery in Memphis, TN
About William Leslie Hickerson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM LESLIE HICKERSON MD (NPI 1033209606) is an individual plastic and reconstructive surgery provider in Memphis, Tennessee, licensed in Tennessee (12709) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William Leslie Hickerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show William Hickerson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 944 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 1,246 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38103
MEMPHIS, TN 38103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Hickerson's NPI number?
The NPI number for William Hickerson is 1033209606. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is William Hickerson located?
William Hickerson practices at 890 Madison Ave Suite Tg032, Memphis, TN 38103. The listed phone number is (901) 448-2579.
What is William Hickerson's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is William Hickerson enrolled in Medicare?
Yes. William Hickerson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for William Hickerson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Hickerson reassigns Medicare benefits to 2 organizations: Arkansas Childrens Hospital (Little Rock, AR) and University Of Arkansas For Medical Sciences (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Hickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for William Hickerson was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# William Leslie Hickerson, MD · NPI 1033209606
Plastic and Reconstructive Surgery physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1033209606 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 12709 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 890 MADISON AVE, SUITE TG032, Memphis, TN 38103-3409
- **Phone:** (901) 448-2579 · **Fax:** (901) 448-2602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arkansas Childrens Hospital (NPI 1598773079, Little Rock, AR); University Of Arkansas For Medical Sciences (NPI 1114255353, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2025
- **Other identifiers:** Medicaid 00154377 (MS); Medicaid 1033209606 (MO); Medicaid 003179306A (GA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1033209606) · Data from the CMS NPPES public registry.