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FRED WAYNE HICKS JR. MD
NPI 1982353124
Family Medicine in Bristol, TN

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
208 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 989-4050(423) 990-3044 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fred Wayne Hicks Jr. Md NPPES

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

FRED WAYNE HICKS JR. MD (NPI 1982353124) is an individual family medicine provider in Bristol, Tennessee, licensed in Florida (74888) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2022).

NPPES Registry Identity

NPI1982353124
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRED WAYNE HICKS JR.Credential: MD
Location Address208 MEDICAL PARK BLVDBristol, TN 37620-7343
Mailing Address208 Medical Park BlvdBristol, TN 37620-7343 · (423) 989-4050 · Fax (423) 990-3044
Phone(423) 989-4050
Fax(423) 990-3044
Sole ProprietorYes
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1982353124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 74888
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.
208 MEDICAL PARK BLVD, Bristol, TN 37620
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fred Wayne Hicks Jr. 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 ID7618359837
PECOS Enrollment IDI20251117003653
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.

Medicare Billing Reassignment

Medicare enrollment records show Fred Hicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Physician Services PC
118 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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 20

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

JARVIS ETHAN PENNINGTON
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
MADELINE GRACE SHIPLEY
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ANDREA LYNNE HOPKINS M.D.
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ROMANY AINGEAL NIGHTINGALE
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH BAKER DO
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH KELLER MD
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 984-4050
BRANDI KAY DAHL PHARMD
Pharmacist
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
CHRISTOPHER GARNER M.D.
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050

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 Fred Hicks's NPI number?

The NPI number for Fred Hicks is 1982353124. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Fred Hicks located?

Fred Hicks practices at 208 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 989-4050.

What is Fred Hicks's specialty?

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

Is Fred Hicks enrolled in Medicare?

Yes. Fred 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.

Which organization bills Medicare for Fred Hicks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Hicks reassigns Medicare benefits to Southeastern Physician Services PC (Oak Ridge, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fred Hicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Fred Hicks affiliated with any hospitals?

According to CMS data, Fred Hicks is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Fred Hicks was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.