HARRISON CLARK HICKS
NPI 1437901667
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since April 02, 2024PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harrison Clark Hicks NPPES

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

HARRISON CLARK HICKS (NPI 1437901667) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437901667
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHARRISON CLARK HICKS
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address201 Wildwood TrceHattiesburg, MS 39402-2355 · (601) 818-2214
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
NPI 1437901667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Harrison Clark 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.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Harrison Hicks's NPI number?

The NPI number for Harrison Hicks is 1437901667. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Harrison Hicks located?

Harrison Hicks practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Harrison 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 Harrison Hicks enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Harrison Hicks was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.