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Katie Michel Hickman, PA-C

NPI 1568218154ActiveIndividual· Physician Assistant· Lawrenceville, GA

Physician Assistant (PA-C) with Northside Surgical Professional Services LLC, practicing in Lawrenceville, Georgia. 38 Medicare patients in 2024, $5,149 paid; all of their 85 Part D prescriptions were generic. Bioventus LLC was the largest of 5 companies reporting payments in 2025, $931.46 in all, mostly food and beverage.

Overview

NPI1568218154
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedApr 25, 2024
Last updated in NPPESMay 30, 2024
Certified by providerApr 28, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X12335GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients38
Services billed212 across 17 procedure codes
Paid by Medicare$5,149

Part D prescriptions in 2024

Prescriptions (claims)85 · 87 30-day fills
Patients47
Total drug cost$761.86
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$931.46 · 18 payments from 5 companies
  • 2024$156.54 · 3 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$931.46 · 18 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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