Individual provider Active NPI

Alan Hightower, PA

  • Physician Assistant
  • Jeffersonville, IN
National Provider Identifier
1174035141
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002461A Issued in IN
Practice address
301 Gordon Gutmann Blvd Ste 101
Jeffersonville, IN 47130-3765
Phone
(812) 282-4844
Fax
(812) 282-6248
NPI assigned
Oct 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10002461A IN Primary

Addresses

Primary practice location

301 Gordon Gutmann Blvd Ste 101
Jeffersonville, IN 47130-3765

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9337

Other practice location 1

4241 Hwy 14 W
Christopher, IL 62822-1037
Phone (618) 724-2401

Other identifiers 3

IdentifierTypeStateIssuer
300016579MedicaidIN
196290259OtherINMEDICARE
7100919880MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802003835 IN Practitioner - Physician Assistant 5193084093 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

404 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 206-1303

460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 413-3117

Hospital & facility affiliations

  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstone Regional Hospital Acquisition LLC CurrentSince Jan 1, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Offbeat Behavioral LLC Physician Assistant Current Accepting new patients
Lifespring, Inc CurrentSince Jun 26, 2018 Accepting new patients
Alan J. Hightower, LLC Physician Assistant Current Accepting new patients
Norton Clark Physician Practices, LLC Physician Assistant CurrentSince Jun 8, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Lifespring, Inc CurrentSince Jun 26, 2018 Accepting new patients
Lifespring Inc Past Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

480 Eversman Dr
Jasper, IN 47546
Phone (812) 482-3020

301 Gordon Gutmann Blvd
Ste 101
Jeffersonville, IN 47130
Phone (812) 282-4844

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

2700 Vissing Park Rd
Jeffersonvlle, IN 47130
Phone (812) 246-9809

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1174035141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9337",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD STE 101",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303765",
            "telephone_number": "812-282-4844",
            "fax_number": "812-282-6248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4241 Hwy 14 W",
            "address_purpose": "LOCATION",
            "city": "Christopher",
            "state": "IL",
            "postal_code": "628221037",
            "country_code": "US",
            "telephone_number": "618-724-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002461A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300016579",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "196290259",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100919880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.