CHARLES P HICKS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1619149721

CHARLES P HICKS (CRNA) is a healthcare provider. based in Atlanta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN157151 (GA). The NPI Number for CHARLES P HICKS (CRNA) is 1619149721

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES P HICKS (CRNA)
NPI
1619149721
Phone
(404) 851-7324
Address
5665 Peachtree Dunwoody Rd NE
Enumeration Date
28 March 2008
Last Update Date
29 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707940477
Graduation Year
2007 (19 years ago)
PAC ID
6002980414
Group Practice PAC ID
7315835063
Professional Enrollment ID
I20080804000149
Address ID
GA300601101MA677XXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for CHARLES P HICKS (CRNA)

  • 5665 Peachtree Dunwoody Rd NE

    Atlanta, GA 303421764

    Phone: (404) 851-7324

    Fax: (404) 843-2627

    Type: Location

  • 8954 Hospital Dr

    Douglasville, GA 301342272

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 2540 Windy Hill Rd SE

    Marietta, GA 300678605

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 146 Bill Carruth Pkwy

    Hiram, GA 301413749

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 677, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300601101

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • Peachtree Dunwoody Road, Atlanta, Georgia, 30328, United States

    SUITE 530

    ATLANTA, GA 303425000

    Phone: (404) 257-1415

    Fax: (404) 851-1649

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080804000149ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement1717$0
01922Anesthesia for x-ray or radiation therapy1616$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
01214Anesthesia for total hip replacement1414$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315835063View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CHARLES P HICKS (CRNA)?
NPI 1619149721 is assigned to CHARLES P HICKS (CRNA) under the national enumeration system.
Is CHARLES P HICKS (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CHARLES P HICKS (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for CHARLES P HICKS (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for CHARLES P HICKS (CRNA)?
We surface Atlanta, Georgia for CHARLES P HICKS (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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