Active NPI
Renah Jeremi Hightower, PA-C
- Physician Assistant
- Dublin, GA
National Provider Identifier
1285039396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007435
- Practice address
- 102 Bowling LN
Dublin, GA 31021-2502 - Phone
- (478) 272-0203
- Fax
- (478) 272-0223
- NPI assigned
- Oct 31, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007435 | GA | Primary |
Addresses
Primary practice location
102 Bowling LN
Dublin, GA 31021-2502
Mailing address
102 Bowling LN
Dublin, GA 31021-2502
Phone (478) 272-0203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003154921A | Medicaid | GA | |
| 003154921B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical College of Georgia School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
229 Industrial Blvd
Dublin, GA 31021-2969
Phone (478) 353-1058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Soos Pediatrics, PC | Past | Accepting new patients | |
| The After Owls Pediatric Care,LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Dublin, GA
- NPI 1578951190
-
- Pediatrics Physician
- Dublin, GA
- NPI 1851676589
-
- Pediatrics Physician
- Dublin, GA
- NPI 1972880995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1285039396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BOWLING LN",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212502",
"telephone_number": "478-272-0203",
"fax_number": "478-272-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BOWLING LN",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212502",
"telephone_number": "478-272-0203",
"fax_number": "478-272-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHTOWER",
"first_name": "RENAH",
"middle_name": "JEREMI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-31",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "007435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003154921A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003154921B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.