Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lyle John Hickman, MD

Individual provider Internal Medicine Physician · NPI 1598345704

Dr. Lyle John Hickman, MD is an Internal Medicine in Augusta, Georgia. Qualified in 2020, 6 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Mississippi.

Years since qualifying
6
Licensed in
GA, MS
In the registry since
2021
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

1120 15th St
Augusta, GA 30912-2008
Phone: (706) 721-8623
Fax: (706) 721-1459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2520 5th St N, Columbus, MS 39705-2008 — (662) 244-2084

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 99708 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 33847 (MS)

Record details

NPI number1598345704
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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