Active NPI
Quentin Higgins, M.S. ATC LAT CSCS
- Athletic Trainer
- Buford, GA
National Provider Identifier
1174978050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT002609
- Practice address
- 1400 Mall of Georgia Blvd
Buford, GA 30519-6593 - Phone
- (678) 612-5594
- NPI assigned
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT002609 | GA | Primary |
Addresses
Primary practice location
1400 Mall of Georgia Blvd
Buford, GA 30519-6593
Mailing address
1400 Mall of Georgia Blvd
Buford, GA 30519-6593
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT002609 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1174978050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MALL OF GEORGIA BLVD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305196593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MALL OF GEORGIA BLVD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305196593",
"telephone_number": "678-612-5594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "QUENTIN",
"credential": "M.S. ATC LAT CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT002609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.