CHADWICK SCOTT HICKMAN D.O.
NPI 1043907348
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Q: What is Chadwick Hickman's NPI number?

The NPI number for Chadwick Hickman is 1043907348. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Chadwick Hickman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Chadwick Hickman was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 18, 2023PECOS Enrolled

1665 S GREEN ST, TUPELO, MS 38804(662) 251-1040 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Chadwick Scott Hickman D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHADWICK SCOTT HICKMAN D.O. (NPI 1043907348) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043907348

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHADWICK SCOTT HICKMANCredential: D.O.

Location Address1665 S GREEN STTupelo, MS 38804-6556

Mailing Address1665 S Green StTupelo, MS 38804-6556 · (662) 251-1040

Phone(662) 251-1040

Sole ProprietorNo

Enumeration DateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1043907348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1665 S GREEN ST, Tupelo, MS 38804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chadwick Scott Hickman D.o. 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YONG SEOK CHANG DO

Student in an Organized Health Care Education/Training Program