1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Surgery
  6. NPI Profile

WILLIAM LESLIE HICKERSON MD
NPI 1033209606
Surgery - Plastic and Reconstructive Surgery in Memphis, TN

Active since October 13, 2006PECOS Enrolled
890 MADISON AVE, SUITE TG032, MEMPHIS, TN 38103(901) 448-2579(901) 448-2602 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1033209606
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameWILLIAM LESLIE HICKERSONCredential: MD
Location Address890 MADISON AVE, SUITE TG032Memphis, TN 38103-3409
Mailing Address890 Madison Ave, Suite Tg032Memphis, TN 38103-3409 · (901) 448-2579 · Fax (901) 448-2602
Phone(901) 448-2579
Fax(901) 448-2602
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1033209606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in TN · 12709✔ Licensed in AR · E-4374
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License E-4374 (AR)
890 MADISON AVE, Memphis, TN 38103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Childrens Way # 210Little Rock, AR 72202-3500 · Phone (501) 364-1100 · Fax (501) 364-4082

Other Identifiers 6

Medicaid00154377MS
Medicaid1033209606MO
Medicaid003179306AGA
Medicaid111048001AR
Medicaid3001590TN
Medicaid177555AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Leslie Hickerson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JOSE A AGUIRRE MD PC TN
Internal Medicine
890 MADISON AVE, FLOOR 4
MEMPHIS, TN 38103
Shelby County (775) 445-8795
REGIONAL MED EXTENDED CARE HOSPITAL, LLC
General Acute Care Hospital
890 MADISON AVE, 4TH FLOOR
MEMPHIS, TN 38103
Shelby County (901) 515-3000
PHYLICIA HARRIS
Nurse Practitioner (Family)
890 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-7100
DR. IBRAHIM A SULTAN-ALI MD
Internal Medicine (Pulmonary Disease)
890 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 515-3028
ABDUL-KARIM SESAY DNP
Nurse Practitioner (Acute Care)
890 MADISON AVE
MEMPHIS, TN 38103
Shelby County (571) 278-4788
LAUREN ALAYNA JETTON PA-C
Physician Assistant
890 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-8090
REGIONAL MED EXTENDED CARE HOSPITAL, LLC
Long Term Care Hospital
890 MADISON AVE, 4TH FLOOR
MEMPHIS, TN 38103
Shelby County (901) 515-3000

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.

When was this NPI record last updated?

The NPPES record for William Hickerson was last updated on April 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.