Individual provider Active NPI

Marissa B Highnote, PA-C

  • Surgical Physician Assistant
  • Atlanta, GA
National Provider Identifier
1336587401
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
006838 Issued in GA
Practice address
6045 Barfield Rd Ste 100
Atlanta, GA 30328-4402
Phone
(404) 250-3333
Fax
(404) 250-0175
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 006838 GA Primary

Addresses

Primary practice location

6045 Barfield Rd Ste 100
Atlanta, GA 30328-4402

Mailing address

6045 Barfield Rd Ste 100
Atlanta, GA 30328-4402
Phone (404) 250-3333

Other practice location 1

1014 Sycamore Dr
Suite B
Decatur, GA 30030-1644
Phone (404) 299-1700

Other names 1

  • Marissa Benist Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006838GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Evans Emergency Medical Services LLC Past Accepting new patients

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336587401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 BARFIELD RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284402",
            "telephone_number": "404-250-3333",
            "fax_number": "404-250-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 BARFIELD RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284402",
            "telephone_number": "404-250-3333",
            "fax_number": "404-250-0175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Sycamore Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301644",
            "country_code": "US",
            "telephone_number": "404-299-1700",
            "fax_number": "404-299-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGHNOTE",
        "first_name": "MARISSA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "006838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "BENIST",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.