Active NPI
Thomas Joseph Higgins, PHD
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1255447249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1009
- Practice address
- 2311 Briarleigh Way
Atlanta, GA 30338-7005 - Phone
- (770) 395-0700
- Fax
- (770) 733-1154
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1009 | GA | Primary |
Addresses
Primary practice location
2311 Briarleigh Way
Atlanta, GA 30338-7005
Mailing address
2311 Briarleigh Way
Atlanta, GA 30338-7005
Phone (770) 395-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00434959C | Medicaid | GA |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1255447249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 BRIARLEIGH WAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387005",
"telephone_number": "770-395-0700",
"fax_number": "770-733-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 BRIARLEIGH WAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387005",
"telephone_number": "770-395-0700",
"fax_number": "770-733-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "1009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00434959C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}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 Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.