Individual provider Active NPI

Jessica Simon Higgins, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1215448170
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013514 Issued in GA
Practice address
2800 N Druid Hills Rd NE
Atlanta, GA 30329-3987
Phone
(470) 427-3840
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013514 GA Primary

Addresses

Primary practice location

2800 N Druid Hills Rd NE
Atlanta, GA 30329-3987

Mailing address

3274 Bridgeway Park
Avondale Estates, GA 30002-5500

Other practice location 1

6 N Avondale Rd
Avondale Estates, GA 30002-1319
Phone (470) 649-3626

Other names 1

  • Jessica Emily Simon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205003623 GA Practitioner - Physical Therapist in Private Practice 9537403365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Aczi LLCGroup PAC ID 3870864861, 11 clinicians

Practice addresses (Care Compare)

2800 N Druid Rd NE
Suite A100
Atlanta, GA 30329-3921
Phone (470) 427-3280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013514GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aczi, LLC CurrentSince Aug 21, 2023 Accepting new patients

Locations

2800 N Druid Hills Rd NE
Atlanta, GA 30329
Phone (314) 330-4088

2800 N Druid Hills Rd NE
Ste A100
Atlanta, GA 30329
Phone (470) 427-3840

6 N Avondale Rd
Avondale Estates, GA 30002
Phone (470) 649-3626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1215448170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 BRIDGEWAY PARK",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300025500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293987",
            "telephone_number": "470-427-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 N Avondale Rd",
            "address_purpose": "LOCATION",
            "city": "Avondale Estates",
            "state": "GA",
            "postal_code": "300021319",
            "country_code": "US",
            "telephone_number": "470-649-3626",
            "fax_number": "470-839-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "JESSICA",
        "middle_name": "SIMON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SIMON",
            "middle_name": "EMILY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.