KENNETH HICKS MD
NPI 1871573196
Internal Medicine in Nashville, TN

Active since January 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 44D0309077 · Waiver
1100 KERMIT DR, STE 106, NASHVILLE, TN 37217(615) 361-6953(615) 360-0947 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Hicks Md NPPES

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

KENNETH HICKS MD (NPI 1871573196) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (MD0000011486) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Tristar Southern Hills Medical Center.

NPPES Registry Identity

NPI1871573196
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH HICKSCredential: MD
Location Address1100 KERMIT DR, STE 106Nashville, TN 37217-2121
Mailing Address1100 Kermit Dr, Ste 106Nashville, TN 37217-2121 · (615) 361-6953 · Fax (615) 360-0947
Fax(615) 360-0947
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1978
Enumeration DateJanuary 20, 2006
Last NPPES UpdateOctober 11, 2013
NPI 1871573196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · MD0000011486
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 KERMIT DR, Nashville, TN 37217

Other Identifiers 3

Medicare ID-Type Unspecified3186178TN
Medicare UPINB04229
Medicaid3186178TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth Hicks Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789570474
PECOS Enrollment IDI20040227000759
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.

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 44D0309077

Kenneth Hicks MD · Nashville, TN
Active · expires Aug 31, 2026
CLIA Number44D0309077
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKenneth Hicks
Laboratory Phone(615) 361-6953
Laboratory LocationKenneth Hicks MD1100 Kermit Drive Suite #106, Nashville, TN 37217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440197
Location391 Wallace RdNashville, TN 37211 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37217 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 5

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

Chiropractor
1100 KERMIT DR, SUITE 26
NASHVILLE, TN 37217
Chiropractor
1100 KERMIT DR, SUITE 26
NASHVILLE, TN 37217
In Home Supportive Care
1100 KERMIT DR, 026
NASHVILLE, TN 37217
Nurse Practitioner (Family)
1100 KERMIT DR, SUITE 106
NASHVILLE, TN 37217
In Home Supportive Care
1100 KERMIT DR, SUITE 207
NASHVILLE, TN 37217

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 Kenneth Hicks's NPI number?

The NPI number for Kenneth Hicks is 1871573196. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Kenneth Hicks located?

Kenneth Hicks practices at 1100 Kermit Dr Ste 106, Nashville, TN 37217. The listed phone number is (615) 361-6953.

What is Kenneth Hicks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Hicks enrolled in Medicare?

Yes. Kenneth Hicks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Kenneth Hicks hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0309077) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenneth Hicks accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kenneth Hicks 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.

Is Kenneth Hicks affiliated with any hospitals?

According to CMS data, Kenneth Hicks is affiliated with Tristar Southern Hills Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Hicks was last updated on October 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.