Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew G Hicks, PA

Individual provider Medical Physician Assistant · NPI 1154757995

Andrew G Hicks, PA is a Physician Assistant in Peoria, Arizona. Qualified in 2013, 13 years ago. Practices with Advanced Dermatology of Arizona PC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7767 W Deer Valley Rd
Peoria, AZ 85382-2103
Phone: (623) 487-3003
Fax: (623) 889-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5511 (AZ)

Record details

NPI number1154757995
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2013
Last updated in NPPESSeptember 25, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advanced Dermatology Of Arizona Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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