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OCTAVIA ANNESSIA RENEE HICKS
NPI 1225795750
Student in an Organized Health Care Education/Training Program in Teachey, NC

Active since November 18, 2021PECOS EnrolledAccepts Medicare Assignment
124 MAPLE ST, TEACHEY, NC 28464(910) 463-8880 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Octavia Annessia Renee Hicks NPPES

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

OCTAVIA ANNESSIA RENEE HICKS (NPI 1225795750) is an individual student in an organized health care education/training program in Teachey, North Carolina and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225795750
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOCTAVIA ANNESSIA RENEE HICKS
Location Address124 MAPLE STTeachey, NC 28464-9522
Mailing Address124 Maple StTeachey, NC 28464-9522 · (910) 463-8880
Phone(910) 463-8880
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1225795750 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.
124 MAPLE ST, Teachey, NC 28464
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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 and accepts Medicare assignment

Octavia Annessia Renee Hicks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698212868
PECOS Enrollment IDI20240806000924
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

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 Octavia Hicks's NPI number?

The NPI number for Octavia Hicks is 1225795750. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Octavia Hicks located?

Octavia Hicks practices at 124 Maple St, Teachey, NC 28464. The listed phone number is (910) 463-8880.

What is Octavia Hicks's specialty?

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

Is Octavia Hicks enrolled in Medicare?

Yes. Octavia Hicks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Octavia Hicks affiliated with any hospitals?

According to CMS data, Octavia Hicks is affiliated with Unc Hospitals.

When was this NPI record last updated?

The NPPES record for Octavia Hicks was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.