IndividualActive
Charles Hicks
NPI 1720186802 · Primary Podiatric Medicine Podiatrist · Cleveland, MS
Provider details
- NPI number
- 1720186802
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 80066 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
140 North St
Cleveland, MS 38732-2744
Phone: (662) 843-3668
Fax: (662) 846-1894
Street-level locationGet directions
Mailing address
Po Box 907
Cleveland, MS 38732-0907
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.