Active NPI
Edmund S. Higgins, M.D.
- Specialist
- Bennettsville, SC
National Provider Identifier
1013021153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD12478
- Practice address
- 1035 Cheraw St.
Bennettsville, SC 29512 - Phone
- (843) 556-4157
- Fax
- (843) 763-8747
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12478 | SC | |
| Specialist | 174400000X | MD12478 | SC | Primary |
Addresses
Primary practice location
1035 Cheraw St.
Bennettsville, SC 29512
Mailing address
P.O. Box 918
1035 Cheraw St.
Bennettsville, SC 29512
Phone (843) 454-0841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405127 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12478 | SC | MD | Social Worker |
| MD12478 | SC | MD | Specialist |
Interoperability endpoints
- edmund.higgins.p1@direct.scdc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1013021153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 918",
"address_2": "1035 CHERAW ST.",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-454-0841",
"fax_number": "843-454-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 CHERAW ST.",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-556-4157",
"fax_number": "843-763-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "EDMUND",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "12478",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "MD12478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405127",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.