Doctor profile · Federal record
Dr. William Hickerson, MD
Plastic and Reconstructive Surgery Physician · Plastic Surgery Physician · Plastic and Reconstructive Surgery Physician · Memphis, TN
- NPI 1033209606
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
890 Madison Ave, Suite Tg032
Memphis, TN 381033409
(901) 448-2579
fax (901) 448-2602 - Additional location
-
1 Childrens Way # 210
Little Rock, AR 722023500
(501) 364-1100
fax (501) 364-4082
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- April 18, 2025
- Specialty taxonomy
- 2086S0122X — NUCC code
- State licenses (2)
- Tennessee #12709 · Arkansas #E-4374
- Medicaid (6)
- MS #00154377 · MO #1033209606 · GA #003179306A · AR #111048001 · TN #3001590 · AL #177555
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033209606. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30,016
Transactions
7
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PolyNovo North America LLC | 6 | $30,000.00 | |
| Vericel Corporation | 1 | $16.31 |
By nature of payment
Frequently asked questions
What is Dr. William Hickerson's medical specialty?
Dr. William Hickerson practices Plastic and Reconstructive Surgery Physician in Memphis, TN.
Where does Dr. William Hickerson practice?
Dr. William Hickerson practices at 890 Madison Ave, Memphis, TN 381033409. Office phone: 9014482579.
What is Dr. William Hickerson's NPI?
Dr. William Hickerson's National Provider Identifier (NPI) is 1033209606, issued by NPPES.