MR. DWAYNE EVERETT HICKS JR.
NPI 1821861345
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Louisburg, NC

Q: What is Dwayne Hicks's NPI number?

The NPI number for Dwayne Hicks is 1821861345. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Q: What is Dwayne Hicks's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Dwayne Hicks was last updated on November 6, 2023. 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.

Active since November 06, 2023

1078 LAKE ROYALE, 129 CHOCTAW DRIVE, LOUISBURG, NC 27549(252) 425-7746 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Dwayne Everett Hicks Jr. NPPES

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

MR. DWAYNE EVERETT HICKS JR. (NPI 1821861345) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Louisburg, North Carolina and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1821861345

Entity TypeIndividualMale

Primary Taxonomy320600000X

Provider Legal NameMR. DWAYNE EVERETT HICKS JR.

Location Address1078 LAKE ROYALE, 129 CHOCTAW DRIVELouisburg, NC 27549

Mailing Address1078 Lake Royale, 129 Choctaw DriveLouisburg, NC 27549 · (252) 425-7746

Phone(252) 425-7746

Sole ProprietorYes

Enumeration DateNovember 6, 2023

NPPES CertifiedNovember 6, 2023

✔ NPI 1821861345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1078 LAKE ROYALE, Louisburg, NC 27549

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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 Dwayne Hicks's NPI number?

The NPI number for Dwayne Hicks is 1821861345. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Dwayne Hicks located?

Dwayne Hicks practices at 1078 Lake Royale 129 Choctaw Drive, Louisburg, NC 27549. The listed phone number is (252) 425-7746.

What is Dwayne Hicks's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Dwayne Hicks was last updated on November 6, 2023. 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.