Katie Michel Hickman, PA-C
Katie Michel Hickman, PA-C is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2024, 2 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 2
- Licensed in
- GA
- In the registry since
- 2024
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1900 Riverside PkwyLawrenceville, GA 30043-5925
Phone: (770) 237-3475
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12335 (GA) |
|---|
Record details
| NPI number | 1568218154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | April 25, 2024 |
| Last updated in NPPES | May 30, 2024 |
| Certification date | April 28, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Northside Surgical Professional Services Llc — 368 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 212 |
| Average patient age | 74 |
Payments from drug and device companies, 2025
| Food and Beverage | $931 |
|---|
Practises at
- Northside Hospital Gwinnett Hospital · Lawrenceville, GA
Colleagues at Northside Surgical Professional Services LLC
- Ronna Leann Brewer, CNP Acute Care Nurse Practitioner · Atlanta, GA
- Carter Welch Cooper, PA-C Physician Assistant · Atlanta, GA
- Dr. Nidhi S De, MD Obstetrics & Gynecology Physician · Atlanta, GA
- Diana K Dean, PA Physician Assistant · Lawrenceville, GA
- Abigail Helbling Feder, PHD Clinical Neuropsychologist · Duluth, GA
- Mrs. Stacie Dianne Holloway, FNP-BC Nurse Practitioner · Atlanta, GA
- Dr. Eric John Kron, DPM, FACFAS Foot & Ankle Surgery Podiatrist · Dawsonville, GA
- Dr. Daniel Alan Nicholson, MD Sports Medicine (Orthopaedic Surgery) Physician · Atlanta, GA
- Dr. Eugenia Kim Page, MD Plastic Surgery Physician · Atlanta, GA
- Dr. Jason Alexander Petrofski, MD Colon & Rectal Surgery Physician · Cumming, GA
- Stephanie Pfeiffer, PA-C Student in an Organized Health Care Education/Training Program · Tacoma, WA
- Erica N Proctor, MD Surgery Physician · Duluth, GA
Other providers in Lawrenceville
-
Elizabeth Chandler Harris, PA-C
301 Phiip Blvd Ste A, Lawrenceville, GA 30046-8746 · (770) 822-5560
-
Jade Harris, PA
1730 Lawrenceville Suwanee Rd, Lawrenceville, GA 30043-3507 · (770) 338-0089
-
Cassidy Rose Heflin, PA
631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 · (678) 312-2663
-
Emily Marie Hernandez
1034 Slash Pine Way, Lawrenceville, GA 30043-3467 · (404) 229-0095
-
Kimberly Jordan Howe, PA
748 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3393 · (770) 339-1500
-
Dawn Mazie Itzie, PA-C
771 Old Norcross Rd Ste 255, Lawrenceville, GA 30046-4386 · (770) 963-2967
-
Maegan Jewson, PAC
748 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3394 · (770) 339-1500
-
Michael Olton Johnson, PA
377 W Pike St # A3-2, Lawrenceville, GA 30046-4881 · (470) 461-7031