Miriam Higginbotham, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN254544 Issued in GA

Practice address

380 Sconyers St
Metter, GA 30439-3261

Phone

(912) 685-1215

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charleston Area Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Belpre, OH
  • NPI 1588422547
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1124082284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SCONYERS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393261",
            "telephone_number": "912-685-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SCONYERS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393261",
            "telephone_number": "912-685-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Andrew Glow, MD
• Sherry Ann Grant
• Tonya Campbell Harris, LPC
• Jessica Hendrix, OTR/L
• Clara Denise Hibbs, MS, OTR/L
• Hope and Healing Creative Therapy, LLC
• Hopebridge Homecare Services LLC
• Hopebridge Transportation Services LLC
• Hospital Authority of Candler County
• Hospital Authority of Candler County

• All providers in Metter, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.