MS. WINNIE CLAIRE HICKS M.D.
NPI 1326076787
Family Medicine - Hospice and Palliative Medicine in Flat Rock, NC

NPI Status: Active since June 28, 2006

Contact Information

571 S ALLEN RD
FLAT ROCK, NC
ZIP 28731
Phone: (828) 692-6178
Fax: (828) 692-6764

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  • Individual
  • Female
  • Years of Experience 44
  • Family Medicine
  • Hospice and Palliative Medicine
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About WINNIE HICKS

This page provides the complete NPI Profile along with additional information for Winnie Hicks, a provider established in Flat Rock, North Carolina with a medical specialization in Family Medicine, focusing in hospice and palliative medicine and more than 44 years of experience. She graduated from Medical College Of Georgia School Of Medicine in 1982. The healthcare provider is registered in the NPI registry with number 1326076787 assigned on June 2006. The practitioner's primary taxonomy code is 207QH0002X with license number 2010-00216 (NC). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1326076787
Provider Name
MS. WINNIE CLAIRE HICKS M.D.
Gender
Female
Entity Type
Individual
Location Address
571 S ALLEN RD FLAT ROCK, NC 28731
Location Phone
(828) 692-6178
Location Fax
(828) 692-6764
Mailing Address
571 S ALLEN RD FLAT ROCK, NC 28731
Mailing Phone
(828) 692-6178
Mailing Fax
(828) 692-6764
Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year
1982
Is Sole Proprietor?
No
Enumeration Date
06-28-2006
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
Allopathic & Osteopathic Physicians
License No.
2010-00216
License State
NC
Taxonomy Description
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

029466 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2010-00216OTHER (01)NCMEDICAL DOCTOR
238379OTHER (01)GABLUECROSS/BLUE SHIELD
022JOTHER (01)NCBCBS
029466OTHER (01)GAMEDICAL DOCTOR
GRP2943OTHER (01)GAMEDICARE GRP
000369597AMEDICAID (05)GA 

Medicare Participation & PECOS Enrollment Status

Winnie Hicks is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Winnie Hicks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496787202

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050901000079

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 28731 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MS. WINNIE CLAIRE HICKS M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326076787, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 0 + 7 + 1 + 2 + 7 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1326076787.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
571 S ALLEN RD
FLAT ROCK, NC 28731
Family Medicine
571 S ALLEN RD
FLAT ROCK, NC 28731
Family Medicine
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner
571 S ALLEN RD
FLAT ROCK, NC 28731
Counselor (Professional)
571 S ALLEN RD
FLAT ROCK, NC 28731
Social Worker (Clinical)
571 S ALLEN RD
FLAT ROCK, NC 28731
Social Worker (Clinical)
571 S ALLEN RD
FLAT ROCK, NC 28731
Counselor (Professional)
571 S ALLEN RD
FLAT ROCK, NC 28731
Social Worker (Clinical)
571 S ALLEN RD
FLAT ROCK, NC 28731
Social Worker (Clinical)
571 S ALLEN RD
FLAT ROCK, NC 28731
Social Worker (Clinical)
571 S ALLEN RD
FLAT ROCK, NC 28731
Physician Assistant
571 S ALLEN RD
FLAT ROCK, NC 28731
Family Medicine (Hospice and Palliative Medicine)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Gerontology)
571 S ALLEN RD
FLAT ROCK, NC 28731
Physician Assistant
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Gerontology)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Family)
571 S ALLEN RD
FLAT ROCK, NC 28731
Nurse Practitioner (Gerontology)
571 S ALLEN RD
FLAT ROCK, NC 28731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326076787, enumerated as an "individual" on June 28, 2006.

The provider is located at 571 S ALLEN RD FLAT ROCK, NC 28731 and the phone number is (828) 692-6178.

Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.