Dr Adria Hickson, PSYD in Jonesboro, GA - Medicare Psychologist Provider

Dr Adria Hickson, PSYD is a medicare enrolled "Psychologist" provider in Jonesboro, Georgia. Her current practice location is 2400 Mount Zion Pkwy, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 244-3085.

Dr Adria Hickson is licensed to practice in Georgia (license number PSY004654) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316614928.

Contact Information

	Dr Adria Hickson, PSYD
	2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500
	(678) 244-3085
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Adria Hickson
Gender	Female
Speciality	Psychologist
Location	2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316614928
Provider Enumeration Date: 08/23/2021
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 0648617431
Enrollment ID: I20240328003023

Medical Identifiers

Medical identifiers for Dr Adria Hickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316614928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY004654 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adria Hickson allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adria Hickson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Adria Hickson, PSYD 2400 Mt Zion Pxwy, Jonesboro, GA 30236 Ph: (404) 365-0966	Dr Adria Hickson, PSYD 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (678) 244-3085

Reviews and Comments

Psychologist in Jonesboro, GA

Hannah Yael Paull, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-375-3328
Dr. Shameka Rena Pointer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 149 S Mcdonough St Ste 200, Jonesboro, GA 30236 Phone: 770-905-2517
Dr. Julia Olivia Land, PSYD, CRC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 404-638-5293
Russell Farr Shearer Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3632
Ms. Rochelle C Bell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Chestnut St, Jonesboro, GA 30236 Phone: 770-891-2270
Anthony Patton Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 62 Darwin Dr, Jonesboro, GA 30238 Phone: 404-423-3096

Dr Adria Hickson, PSYD - Medicare Psychologist in Jonesboro, GA