HICKSFAMILYMEDICINEOHIO, LLC
NPI 1619685500
Family Medicine in Continental, OH

Active since November 09, 2022CLIA 36D2281491 · Waiver
102 W ASH ST, CONTINENTAL, OH 45831(561) 305-9856 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2023, Nov 9, 2022 (2 updates tracked since 2022).

About Hicksfamilymedicineohio, Llc NPPES

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

HICKSFAMILYMEDICINEOHIO, LLC (NPI 1619685500) is a healthcare organization registered as a family medicine in Continental, Ohio and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Stacie Hicks, President/owner, as its authorized official.

NPPES Registry Identity

NPI1619685500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHICKSFAMILYMEDICINEOHIO, LLC
Location Address102 W ASH STContinental, OH 45831-9162
Mailing Address102 W Ash StContinental, OH 45831-9162 · (561) 305-9856
Organization SubpartNo
Authorized OfficialStacie HicksPresident/owner · (561) 305-9856
Enumeration DateNovember 9, 2022
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1619685500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
102 W ASH ST, Continental, OH 45831

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2281491

Hicks Family Medicine · Continental, OH
Active · expires May 7, 2027
CLIA Number36D2281491
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorStacie L. Hicks
Laboratory Phone(419) 596-3251
Laboratory LocationHicks Family Medicine102 W Ash Street, Continental, OH 45831
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
102 W ASH ST
CONTINENTAL, OH 45831

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 Hicksfamilymedicineohio, LLC's NPI number?

The NPI number for Hicksfamilymedicineohio, LLC is 1619685500. It was assigned to this organization in the NPPES registry on November 9, 2022.

Where is Hicksfamilymedicineohio, LLC located?

Hicksfamilymedicineohio, LLC is located at 102 W Ash St, Continental, OH 45831. The listed phone number is (561) 305-9856.

What is Hicksfamilymedicineohio, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hicksfamilymedicineohio, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2281491) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hicksfamilymedicineohio, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Hicksfamilymedicineohio, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hicksfamilymedicineohio, LLC was last updated on January 31, 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.