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SHANNON T. HICKS MD
NPI 1790136901
Pediatrics in Atlanta, GA

Active since June 29, 2016PECOS Enrolled
2302 PARKLAKE DR NE, ATLANTA, GA 30345(678) 894-0288 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2021, Jun 2, 2021, Jul 2, 2019 and 1 more (4 updates tracked since 2016).

About Shannon T. Hicks Md NPPES

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

SHANNON T. HICKS MD (NPI 1790136901) is an individual pediatrics provider in Atlanta, Georgia, licensed in Florida (ME140317) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790136901
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON T. HICKSCredential: MD
Location Address2302 PARKLAKE DR NEAtlanta, GA 30345-2896
Mailing Address910 Deerfield Crossing Dr Apt 2113Alpharetta, GA 30004-1803 · (252) 529-3544
Phone(678) 894-0288
Sole ProprietorNo
Enumeration DateJune 29, 2016
Last NPPES UpdateJune 9, 20214 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1790136901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME140317
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2302 PARKLAKE DR NE, Atlanta, GA 30345
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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)

Shannon T. Hicks Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHATNEY STALLINGS BA
Counselor (Mental Health)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
MARY AGNES DALLAS
Counselor (Mental Health)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
HOPETON HENRY MSW
Social Worker (Clinical)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
KIMIKO JOHNSON BS
Social Worker
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
KRUPA DESAI
Counselor (Mental Health)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
RA'SHAWNE COX
Counselor (Mental Health)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
AUMAREY NATHANIEL ELLIS
Counselor (Mental Health)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469
HELENA POE
Counselor (Mental Health)
2302 PARKLAKE DR NE, SUITE 350
ATLANTA, GA 30345
Dekalb County (770) 621-0469

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 Shannon Hicks's NPI number?

The NPI number for Shannon Hicks is 1790136901. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Shannon Hicks located?

Shannon Hicks practices at 2302 Parklake Dr NE, Atlanta, GA 30345. The listed phone number is (678) 894-0288.

What is Shannon Hicks's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Hicks enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Hicks was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.