THOMAS C. KICKHAM, D.O. — NPI 1669434437 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1669434437

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208D00000X (CMS 01)

Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice

Box 32 Service Location & ZIP+4

200 BOOKER DR, WALHALLA, SC, 29691-2278

✓ 9-Digit EDI 837 ZIP+4 (29691-2278)

Practice Phone & Referral Fax

(864) 656-3076

Fax: (843) 985-9562

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669434437 (THOMAS C. KICKHAM, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669434437` (NPI-1 Individual Practitioner)
Provider / Legal Name	THOMAS C. KICKHAM, D.O.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: `208D00000X` (General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	200 BOOKER DR, WALHALLA, SC, 29691-2278
Practice Telephone / Fax	Tel: (864) 656-3076 \| Fax: (843) 985-9562
Administrative Mailing Address	800 N FANT ST, ANDERSON, SC, 29621-5708
Enumeration & Last Sync	Enumerated: 2006-04-05 \| CMS Record Updated: 2023-12-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

200 BOOKER DR, WALHALLA, SC, 29691-2278

🗺️ Open in Google Maps 🏥 More Providers in WALHALLA

🔒 Are you THOMAS C. KICKHAM, D.O.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (208D00000X)

What Does Taxonomy Code 208D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 01 (Physician/General Practice) • CMS Code 99 (Physician/Undefined Physician type[6])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THOMAS C. KICKHAM, D.O.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: SC \| License: `241` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: SC \| License: `241` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

THOMAS C. KICKHAM, D.O. (NPI #1669434437)