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

Dr. James Willis Hickerson Jr., MD

Individual provider Emergency Medicine Physician · NPI 1316207418

Dr. James Willis Hickerson Jr., MD is an Emergency Medicine in Clarksville, Tennessee. Graduated from University of Kentucky College of Medicine in 2015, 11 years ago. Practices with Carrollton Emergency Physicians PC, a 33-clinician group and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
11
Trained at
University of Kentucky College of Medicine
Licensed in
KY, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

651 Dunlop Ln
Clarksville, TN 37040-5015
Phone: (931) 502-1370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 54424 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 48514 (KY)

Record details

NPI number1316207418
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESAugust 18, 2016

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Carrollton Emergency Physicians Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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