Active NPI
Jason M Highsmith, MD
- Neurological Surgery Physician
- N Charleston, SC
National Provider Identifier
1326068669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 29442
- Practice address
- 7301 Rivers Ave Ste 242
N Charleston, SC 29406-4616 - Phone
- (843) 510-0727
- Fax
- (843) 474-0712
- NPI assigned
- Jul 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 057641 | GA | |
| Neurological Surgery Physician | 207T00000X | 29442 | SC | Primary |
Addresses
Primary practice location
7301 Rivers Ave Ste 242
N Charleston, SC 29406-4616
Mailing address
7301 Rivers Ave Ste 242
N Charleston, SC 29406-4616
Phone (843) 510-0727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061102 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057641 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Past | Accepting new patients | |
| Center for Advanced Surgery LLC | Past | Accepting new patients | |
| Prisma Health Medical Group-Midlands | 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.
-
- Ambulatory Surgical Clinic/Center
- Ladson, SC
- NPI 1518338052
-
- Interventional Cardiology Physician
- Columbia, SC
- NPI 1003307166
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1326068669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 RIVERS AVE STE 242",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294064616",
"telephone_number": "843-510-0727",
"fax_number": "843-474-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 RIVERS AVE STE 242",
"city": "N CHARLESTON",
"state": "SC",
"postal_code": "294064616",
"telephone_number": "843-510-0727",
"fax_number": "843-474-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHSMITH",
"first_name": "JASON",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "GA",
"license": "057641",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "SC",
"license": "29442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061102",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.