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Deactivated NPI 1043393622 Deactivated / Inactive NPI Male Practitioner

John Hicks , MSW

Contractor • Blountville, TN

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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, John Hicks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2006
NPI Deactivation Date March 20, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

John Hicks, MSW was a registered Contractor practicing in Blountville, TN. Throughout an active medical career spanning 11 years, John Hicks provided care at the practice location at 110 HARR TOWN RD until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

110 Harr Town Rd

Blountville, TN 376173820

Telephone 4239792873

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Blountville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Blountville, TN (73 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License NC P003788

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

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

1 Associated Practitioners
Barbara Ardell , LCSW

Social Worker - Clinical

NPI 1245556067

Licensed Clinical Social Worker

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 March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 110 HARR TOWN RD, BLOUNTVILLE, TN 376173820 (Tel: 4239792873)

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Updated Business Mailing Address July 08, 2007

Registered at 110 HARR TOWN RD, BLOUNTVILLE, TN 376173820

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN HICKS, M.S.W

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor (License #P003788 in NC)

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Initial NPI Registration & Enumeration October 24, 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: 1043393622
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2017

Mailing Address

110 Harr Town Rd

Blountville, TN 376173820

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.