| Devin N Hicks, MD | |
| 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677-4131 | |
| (706) 769-0005 | |
| (706) 769-0403 | 
| Full Name | Devin N Hicks | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1020 Jamestown Blvd Bldg 200, Watkinsville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679033765 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 100317 (Georgia) | Primary | 
| Entity Name | St. Mary's Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376711333 PECOS PAC ID: 7113098393 Enrollment ID: O20080616000388 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Devin N Hicks, MD Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740 | Devin N Hicks, MD 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677-4131 Ph: (706) 769-0005 | 
| Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1618 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-751-6762 | |
| Marguerite Theresa Allen Chappell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 Fax: 706-769-0403 | |
| Breana Berry Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1618 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-705-4543 | |
| Dr. Carrie Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd, Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 | |
| Lauren Lariscy, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Langford Dr, Watkinsville, GA 30677 Phone: 706-548-1216 | |
| Daphne C Esho, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 Fax: 706-769-0403 | |
| Rachel M Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 Fax: 706-769-0403 |