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Deactivated NPI 1477626232 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Lynn Hicks , MD

Internal Medicine • Brunswick, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Walter Hicks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date September 27, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Hicks, MD was a registered Internal Medicine practicing in Brunswick, GA. Throughout an active medical career spanning 18 years, Dr. Hicks provided care at the practice location at 3400 PARKWOOD DR until profile deactivation on 2024-09-27.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3400 Parkwood Dr

Brunswick, GA 315204755

Telephone 9124665800
Fax 9122651524

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Brunswick, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Brunswick, GA (4065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
23 23 $112.17 $65.68

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 018902

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Teresa Howard

Nurse Practitioner - Family

NPI 1093180630
Jenny Harris , FNP-C

Nurse Practitioner - Family

NPI 1457116626

Family Nurse Practitioner (Certified)

Holly Kinsey , FNP

Nurse Practitioner - Family

NPI 1578947800

Family Nurse Practitioner

Dr. Robert Miller , MD

Emergency Medicine

NPI 1740353507

Doctor of Medicine (M.D.)

Dr. Daniel Miller , MD

Emergency Medicine

NPI 1922171784

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active October 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2016

Registered at 3400 PARKWOOD DR, BRUNSWICK, GA 315204755 (Tel: 9124665800)

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Updated Business Mailing Address October 28, 2016

Registered at PO BOX 1213, BRUNSWICK, GA 315211213 (Tel: 9124665800)

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Provider Name / Credentials Updated October 28, 2016

Recorded as WALTER HICKS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2016

Internal Medicine (License #018902 in GA)

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Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477626232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: October 28, 2016
Deactivation Date: September 27, 2024

Mailing Address

Po Box 1213

Brunswick, GA 315211213

Phone: 9124665800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.