P Praxis·MD
● Active Type 1 · Individual

Jaime Wicks, MD

Radiology·Atlanta, GA· NPI 1164801346 · Enumerated 2015 · 11 years on NPI
Wicks is 1 of 24 radiology providers in Atlanta and 1 of 37 in Georgia.
NPI age
11 years
Enumerated 2015-05-21
Primary specialty
Radiology
Plus 2 subspecialties
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-05-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 37 active radiology providers in Georgia.

NPI age
11 years
↓ 5 yr below median (16 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 51% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Practice location
1364 Clifton Rd Ne Ste Bg20
Atlanta, GA 303221001
📞 4047124596
Mailing address
1320 S University Dr Ste 500
Fort Worth, TX 761075732
📞 8173210404

Additional practice locations

1 secondary location on file with NPPES.

Location 2
815 Pennsylvania Ave
Fort Worth, TX 761042294
📞 8173210404

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
    TX license #W4996GA license #88295 taxonomy 2085N0700X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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