Holly Hicks-Deridder, PA-C
NPI 1578641627 · Medical Physician Assistant · Newnan, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holly Hicks-Deridder, PA-C is a Medical Physician Assistant provider in Newnan, GA (NPI 1578641627).
Provider details
- NPI number
- 1578641627
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 003338 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
426 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 160 | $73 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 127 | $9 |
| Hemoglobin A1c Level83036 | 56 | $10 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $102 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 17 | $13 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alprazolam | 274 | 55 |
| Atorvastatin Calcium | 163 | 56 |
| Levothyroxine Sodium | 161 | 51 |
| Amlodipine Besylate | 152 | 46 |
| Lisinopril | 125 | 37 |
| Zolpidem Tartrate | 125 | 28 |
| Simvastatin | 115 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$980 across 57 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2011-11-01
Frequently asked questions
- What is Holly Hicks-Deridder's NPI number?
- Holly Hicks-Deridder's National Provider Identifier (NPI) is 1578641627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holly Hicks-Deridder's specialty?
- Holly Hicks-Deridder is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Holly Hicks-Deridder located?
- Holly Hicks-Deridder's practice location on file with NPPES is 2700 Highway 34 E Bldg 300, Newnan, GA 30265-1330.
- What is Holly Hicks-Deridder's phone number?
- The practice phone number listed in the NPPES registry for Holly Hicks-Deridder is (770) 304-0987.
- Does Holly Hicks-Deridder accept Medicare?
- Holly Hicks-Deridder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Holly Hicks-Deridder's NPI active?
- Yes — Holly Hicks-Deridder's NPI (1578641627) is active in the NPPES registry as of the last update on 2011-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.