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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619149721

Charles P Hicks, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marietta, Georgia. Qualified in 2007, 19 years ago. Practices with Grand Anesthesia LLC, a 31-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5665 Peachtree Dunwoody Rd Ne, Atlanta, GA 30342-1764 — (404) 851-7324
  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (770) 794-0477

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN157151 (GA)

Record details

NPI number1619149721
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 28, 2008
Last updated in NPPESAugust 29, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Grand Anesthesia Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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