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JACOB BENJAMIN HICKS
NPI 1396406351
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since January 03, 2022PECOS Enrolled
451 LEE ST SW APT 5050B, ATLANTA, GA 30310(912) 381-4542 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Benjamin Hicks NPPES

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

JACOB BENJAMIN HICKS (NPI 1396406351) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396406351
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB BENJAMIN HICKS
Location Address451 LEE ST SW APT 5050BAtlanta, GA 30310-1408
Mailing Address451 Lee St Sw Apt 5050bAtlanta, GA 30310-1408 · (912) 381-4542
Phone(912) 381-4542
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1396406351 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.
451 LEE ST SW APT 5050B, Atlanta, GA 30310
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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)

Jacob Benjamin Hicks 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.

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 Jacob Hicks's NPI number?

The NPI number for Jacob Hicks is 1396406351. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Jacob Hicks located?

Jacob Hicks practices at 451 Lee St SW Apt 5050B, Atlanta, GA 30310. The listed phone number is (912) 381-4542.

What is Jacob 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 Jacob Hicks enrolled in Medicare?

Yes. Jacob Hicks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Hicks was last updated on January 3, 2022. 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.