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Active NPI 1073779260 Individual Practitioner Male Practitioner

Michael Suttles Hicks , RPH DHPH

Pharmacist • Valdosta, GA

Professional Overview & Biography Verified Profile Summary

Michael Hicks, RPH DHPH is a registered healthcare professional specializing in Pharmacist in Valdosta, GA. Practice services are available at 212 NORTHSIDE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

212 Northside Dr

Valdosta, GA 316021858

Telephone 2292423060
Fax 2292429914
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Valdosta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
87 Specialists

Practicing in Valdosta, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA 016110

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1639313661

Doctor of Pharmacy (Pharm.D.)

NPI 1780970475

Doctor of Pharmacy (Pharm.D.)

La Reshia Okubena , APRN

Nurse Practitioner - Family

NPI 1841054467

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2008

Registered at 212 NORTHSIDE DR, VALDOSTA, GA 316021858 (Tel: 2292423060)

📍
Updated Business Mailing Address August 06, 2008

Registered at 212 NORTHSIDE DR, VALDOSTA, GA 316021858 (Tel: 2292423060)

👤
Provider Name / Credentials Updated August 06, 2008

Recorded as MICHAEL HICKS, R.PH. D.H.PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2008

Pharmacist (License #016110 in GA)

🟢
Initial NPI Registration & Enumeration August 06, 2008

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: 1073779260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2008
Last Update: August 06, 2008
Sole Proprietor: Yes

Mailing Address

212 Northside Dr

Valdosta, GA 316021858

Phone: 2292423060

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.