Keshawn Hicks, RN
Keshawn Hicks, RN is a provider specialising in In Home Supportive Care Agency in Dacula, GA, registered under NPI 1184455420. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1124 RED WOLF LN, Dacula, GA 30019. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| RN197191 | GA | In Home Supportive Care Agency primary |
| RN197191 | GA | Pain Management Registered Nurse |
| RN197191 | GA | Wound Care Registered Nurse |
| RN197191 | GA | Nursing Care Agency |
This provider holds licence RN197191 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What In Home Supportive Care covers
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. NUCC Health Care Provider Taxonomy, code 253Z00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care Agency | RN197191 | GA | primary |
| 163WP0000X | Pain Management Registered Nurse Pain Management | RN197191 | GA | |
| 163WW0000X | Wound Care Registered Nurse Wound Care | RN197191 | GA | |
| 251J00000X | Nursing Care Agency | RN197191 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1184455420 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 9, 2024 |
| Last updated | Aug 9, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | RN |
| Practice address |
1124 RED WOLF LN Dacula, GA 30019 (678) 517-3521 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 4 | 5 | 5 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 8 | 5 | 1 | 4 | 4 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.