| Holly Hicks-deridder, PA-C | |
|
2700 Highway 34 E Bldg 300, Newnan, GA 30265-1330 | |
| (770) 304-0987 | |
| (770) 251-0938 |
| Full Name | Holly Hicks-deridder |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 42 Years |
| Location | 2700 Highway 34 E Bldg 300, Newnan, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578641627 | NPI | - | NPPES |
| 100002196A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003338 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Hospital | Atlanta, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 265 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Hicks-deridder, PA-C 2700 Highway 34 E Bldg 300, Newnan, GA 30265-1330 Ph: (770) 304-0987 | Holly Hicks-deridder, PA-C 2700 Highway 34 E Bldg 300, Newnan, GA 30265-1330 Ph: (770) 304-0987 |
Lauren A Jernigan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10 Market Square Way, Suite 100, Newnan, GA 30265 Phone: 678-423-5560 Fax: 678-423-5563 | |
Maria D'angelo, PHYSICIAN ASSISTAT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1741 Newnan Crossing Blvd E Ste G, Newnan, GA 30265 Phone: 404-640-8416 Fax: 678-633-3501 | |
Cheryl H. Mitcham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 855-848-5760 | |
Gabrielle Galon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1825 Highway 34 E Ste 1200, Newnan, GA 30265 Phone: 770-502-2121 | |
Jared R Shafer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E, Suite 2200, Newnan, GA 30265 Phone: 770-502-2175 Fax: 770-254-7837 | |
Lindsey Meg Partin Thomas, NP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014 | |
Ms. Michele Lore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Newnan Crossing Bypass, Newnan, GA 30263 Phone: 770-251-5111 |