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

Larry Thomas Hickerson Jr., NP-C

Individual provider Family Nurse Practitioner · NPI 1376134767

Larry Thomas Hickerson Jr., NP-C is a Nurse Practitioner in Whitesburg, Kentucky. Qualified in 2020, 6 years ago. Practices with Mountain Comprehensive Health Corporation, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

226 Medical Plaza Ln
Whitesburg, KY 41858-7425
Phone: (606) 633-4871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 552 Black Bottom Rd, Jeremiah, KY 41826-9015 — (606) 634-4837

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3015776 (KY)

Record details

NPI number1376134767
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mountain Comprehensive Health Corporation — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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