Claire Williams Higginbotham, PA
Individual provider Active NPI Physician Assistant · Dayton, TN
NPI 1346993185 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1346993185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4881 (TN)
- Practice address
- 3405 Rhea County Hwy
Dayton, TN 37321-5817 - Phone
- (423) 594-0444
- Fax
- (423) 594-0445
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dayton Internal Medicine, PLLC
Practice addresses (Care Compare)
118 16TH Ave
Suite 107
Dayton, TN 37321-1037
188 16TH Ave
Suite 107
Dayton, TN 37321-1037
Phone (423) 775-6933
Hospital & facility affiliations
- Rhea Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220208001248 | TN | Practitioner - Physician Assistant | 9133512551 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4881 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
3405 Rhea County Hwy
Dayton, TN 37321
Phone (423) 594-0444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4881 | TN | Yes |
Addresses
Primary practice location
3405 Rhea County Hwy
Dayton, TN 37321-5817
Mailing address
3405 Rhea County Hwy
Dayton, TN 37321-5817
Phone (423) 594-0444
Other providers in Dayton, TN
- Mary Catherine Hendren
- Paul Meredith Hendricks
- Timothy J Henry
- Rodney Lynn Herra Jr.
- Charles Lynn Hester II
- Hometown Primary Care, LLC
- Kelsey Hooker
- Horton Family Medicine
- Horton Family Medicine
- Christopher Reynolds Horton
All providers in Dayton, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.